Kozak Gregory N, Field Nicholas C
Southern Alberta Institute of Urology, University of Calgary, Suite 6645, 7707-14 Street SW, Calgary, AB, Canada T2V 1P9.
Case Rep Urol. 2012;2012:486245. doi: 10.1155/2012/486245. Epub 2012 Oct 22.
An 84-year-old gentleman presented with onset of gross hematuria in September 2010. Follow-up investigations revealed T1 superficially invasive, poorly differentiated, papillary urothelial carcinoma. He subsequently had GreenLight laser for BPH and bladder neck contracture on two occasions. He developed a right hydrocele 16 months after initial presentation and during his hydrocelectomy, a rock-hard right epididymis and testicle were discovered. Pathology revealed metastatic urothelial carcinoma replacing nearly the entire testis with lymphovascular invasion.
一位84岁男性于2010年9月出现肉眼血尿。后续检查发现为T1期浅表浸润性、低分化乳头状尿路上皮癌。他随后因良性前列腺增生和膀胱颈挛缩接受了两次绿激光治疗。初次就诊16个月后,他出现右侧鞘膜积液,在鞘膜积液切除术中,发现右侧附睾和睾丸质地坚硬如石。病理显示转移性尿路上皮癌几乎取代了整个睾丸,并伴有淋巴管浸润。