Góes Luccas Santos Patto de, Lopes Roberto Iglesias, Campos Octavio Henrique Arcos, Oliveira Luiz Carlos Neves de, Sant'Anna Alexandre Crippa, Dall'Oglio Marcos Francisco, Srougi Miguel
Hospital do Servidor Público Municipal de São Paulo, São Paulo, SP, Brazil.
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2014 Jan-Mar;12(1):109-11. doi: 10.1590/s1679-45082014rc2689.
A 23-year-old male with a history of bone marrow transplant for acute myeloid leukemia. He presented a large mass in the right inguinal region 5 years ago. Upon physical examination, right-sided cryptorchidism was observed. The tumor markers alpha-fetoprotein and beta-HCG were within normalcy range and lactate dehydrogenase was raised. Computed tomography of the abdomen and pelvis revealed right testicular mass in contiguity with the inguinal canal to the ipsilateral retroperitoneum, associated with right hydronephrosis. Due to the risk of germ-cell tumor in undescended testicle, the patient underwent radical right orchiectomy. The pathological examination showed recurrence of acute myeloid leukemia in the testis. He was referred to oncology for adjuvant therapy. Our literature review found no similar cases described.
一名23岁男性，有因急性髓系白血病接受骨髓移植的病史。5年前他右侧腹股沟区出现一个大肿块。体格检查发现右侧隐睾。肿瘤标志物甲胎蛋白和β-人绒毛膜促性腺激素在正常范围内，但乳酸脱氢酶升高。腹部和盆腔计算机断层扫描显示右侧睾丸肿块与腹股沟管至同侧腹膜后相连，伴有右侧肾积水。由于隐睾存在生殖细胞瘤风险，患者接受了右侧睾丸根治性切除术。病理检查显示睾丸内急性髓系白血病复发。他被转诊至肿瘤科进行辅助治疗。我们的文献回顾未发现类似病例报道。
