Sasaki Mitsuharu, Ota Syozou
The Department of Urology, Japanese Red Cross Sendai Hospital.
Hinyokika Kiyo. 2010 Jan;56(1):55-8.
A 56-year-old man was admitted to our hospital with a chief complaint of pain in the right scrotum. On examination, the patient showed neither gynecomastia nor superficial lymphadenopathy. The serum levels of alpha-fetoprotein, human chorionic gonadotropin-beta, and lactate dehydrogenase (LDH) were not elevated. Ultrasonography and computed tomography (CT) demonstrated hematoma and testicular tumor with abundant blood flow in the right testis. CT revealed no evidence of retroperitoneal lymph node enlargement or distant metastasis. Radical orchiectomy was performed under a diagnosis of right testicular tumor. Histological analysis of the lesion indicated a Sertoli cell tumor. The patient is currently well, with no signs of either recurrence or metastasis about 8 months after the operation.
一名56岁男性因右侧阴囊疼痛为主诉入院。检查发现,患者既没有乳腺增生也没有浅表淋巴结病。甲胎蛋白、人绒毛膜促性腺激素-β和乳酸脱氢酶(LDH)的血清水平均未升高。超声检查和计算机断层扫描(CT)显示右侧睾丸有血肿和血流丰富的睾丸肿瘤。CT未发现腹膜后淋巴结肿大或远处转移的迹象。在诊断为右侧睾丸肿瘤后进行了根治性睾丸切除术。病变的组织学分析显示为支持细胞瘤。患者目前状况良好,术后约8个月没有复发或转移的迹象。