Sakuma T, Maurin C, Shimizu D, Shinohara S
Service de médecine de laboratoire, hôpital Atsumi, Akaishi, Kanbe, Tahara, Aichi, Japan.
Prog Urol. 2012 Dec;22(16):1039-42. doi: 10.1016/j.purol.2012.09.011. Epub 2012 Oct 18.
This case report describes an exceptional case of ectopic adrenal cortex tissue (EACT) in the spermatic cord associated with ipsilateral cryptorchidism in an adult. While both EACT and cryptorchidism are fairly common congenital anomalies in boys, adult cases are uncommon. Although the spermatic cord is a known site of EACT, the reports of its association with cryptorchidism have been limited to child cases. During surgery, undescended testis was discovered and incidentally ectopic adrenal tissue along the spermatic cord was also identified. This combination of developmental aberrations in the adult has not been described, and the clinicopathological findings are reported with a brief literature review.
本病例报告描述了一例成人精索内异位肾上腺皮质组织(EACT)合并同侧隐睾的特殊病例。虽然EACT和隐睾在男孩中都是相当常见的先天性异常,但成人病例并不常见。尽管精索是EACT的一个已知部位,但其与隐睾相关的报道仅限于儿童病例。手术过程中,发现了未降睾丸,同时还意外发现了沿精索的异位肾上腺组织。这种成人发育异常的组合尚未见报道,现报告临床病理结果并进行简要文献复习。