Division of Urological Surgery, Department of Surgery, Song-Shan Armed Forces General Hospital, No, 131, JianKang Rd,, SongShan Dist,, Taipei City, 105, Taiwan.
World J Surg Oncol. 2012 Nov 9;10:238. doi: 10.1186/1477-7819-10-238.
A 53-year-old Taiwanese male had several episodes of left epididymitis with hydrocele refractory to antibiotic treatment. Partial epididymectomy plus preventive vasectomy were planned, and, incidentally, an ill-defined nodule was found lying on the tunica vaginalis near the epididymal head. The pathological diagnosis was malignant mesothelioma of the tunica vaginalis testis. Radical orchiectomy with wide excision of the hemi-scrotal wall was performed. So far, there is no evidence of recurrence after more than 3 years of follow-up. Malignant tumor should be considered in the case of recurrent epididymitis refractory to empirically effective antibiotic treatment. Although the nature of this tumor is highly fatal, the malignancy can possibly be cured by early and aggressive surgical treatment.
一位 53 岁的台湾男性患有多次左侧附睾炎伴鞘膜积液，对抗生素治疗反应不佳。计划进行部分附睾切除术加预防性输精管结扎术，偶然发现附睾头部附近的鞘膜上有一个定义不明确的结节。病理诊断为睾丸鞘膜恶性间皮瘤。行根治性睾丸切除术和半侧阴囊壁广泛切除术。随访 3 年以上，目前无复发证据。对于经验性有效抗生素治疗无效的复发性附睾炎，应考虑恶性肿瘤。虽然这种肿瘤的性质高度致命，但通过早期积极的手术治疗，可能治愈其恶性程度。
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