Arce Terroba Y, Algaba-Arrea F, Villavicencio Maverich H
Sección de Patología, Fundació Puigvert, Barcelona, España.
Actas Urol Esp. 2010 Feb;34(2):194-200.
To review the morphologic features of the segmental infarct of testicle with special insistence in the differential diagnosis with a testicular tumor.
Retrospective revision of the cases with pathologic diagnostic of segmental infarct of testicle diagnosed and treated in our institution. In the selected cases, we review the histological slides and we collected the clinical and radiological features.
We reported 6 cases with the following clinic-pathological features: the average age was 42 years old, both right and left testicles were affected with the same frequency, and the aetiology was idiopathic, trauma or inflammation. All of them with pathological diagnosis of segmental infarct of testicle, either acute or chronic, and in all of them a testicular tumor was suspected.
Segmental infarct of testicle is an unfrequent cause of testicular pseudotumor. It must be considered in the clinical differential diagnostic of testicular masses in order to avoid unnecessary orchiectomies.
回顾睾丸节段性梗死的形态学特征,特别强调其与睾丸肿瘤的鉴别诊断。
对我院诊断和治疗的经病理诊断为睾丸节段性梗死的病例进行回顾性分析。在所选病例中,我们复查了组织学切片,并收集了临床和影像学特征。
我们报告了6例具有以下临床病理特征的病例:平均年龄42岁,左右睾丸受累频率相同,病因包括特发性、创伤或炎症。所有病例均经病理诊断为睾丸节段性梗死,无论是急性还是慢性,并且所有病例均怀疑有睾丸肿瘤。
睾丸节段性梗死是睾丸假性肿瘤的少见原因。在睾丸肿块的临床鉴别诊断中必须考虑到这一点,以避免不必要的睾丸切除术。