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原发性睾丸黏液性肿瘤:病例报告及文献综述

Primary testicular mucinous neoplasms: case report and literature review.

作者信息

Elliott Jason E, Klein Julianne R H, Drachenberg Darrel E

机构信息

Department of Obstetrics, Gynecology and Reproductive Sciences, University of Manitoba, Winnipeg, MB;

出版信息

Can Urol Assoc J. 2010 Aug;4(4):E112-5. doi: 10.5489/cuaj.894.

Abstract

Testicular epithelial mucinous tumours are an extremely rare, but interesting form of testicular neoplasm. We reviewed the medical literature using PubMed search terms: testis, mucinous cystadenoma, mucinous cystadenocarcinoma, neoplasms and testicular neoplasms. We describe a case from our institution and provide a review of the literature. Only 11 previously reported cases of mucinous testicular tumours have been reported in the English literature. The natural history of these tumours is poorly understood, due to their rarity, but it appears that, like their ovarian counterparts, they have an excellent prognosis. Exclusion of metastasis is an important point for the urologist when encountering a mucinous testicular tumour, as metastatic cystic lesions may mimic a primary mucinous tumour. We describe a case of ossified testicular mucinous tumour of low malignant potential. Such tumours are common in the ovary, but arise very rarely in the testicle. The clinical and histological features of this tumour are presented, and previously reported cases are reviewed to highlight important clinical features.

摘要

睾丸上皮黏液性肿瘤是一种极为罕见但有趣的睾丸肿瘤形式。我们使用PubMed搜索词“睾丸、黏液性囊腺瘤、黏液性囊腺癌、肿瘤和睾丸肿瘤”检索了医学文献。我们描述了本院的一例病例并对文献进行了综述。英文文献中仅报道过11例既往的睾丸黏液性肿瘤病例。由于这些肿瘤罕见,其自然病程了解甚少,但似乎与卵巢的同类肿瘤一样,预后良好。对于泌尿外科医生而言,遇到睾丸黏液性肿瘤时排除转移是一个重要要点,因为转移性囊性病变可能酷似原发性黏液性肿瘤。我们描述了一例低恶性潜能的骨化性睾丸黏液性肿瘤病例。此类肿瘤在卵巢中很常见,但在睾丸中极少发生。本文呈现了该肿瘤的临床和组织学特征,并对既往报道的病例进行了综述以突出重要的临床特征。

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