Lin Diwei, Tan Amanda Jia Hui, Power Theresa, Singh-Rai Rajinder
Division of Surgery, Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia.
BMJ Case Rep. 2014 May 21;2014:bcr2014203682. doi: 10.1136/bcr-2014-203682.
We present the first reported case of a concomitant Leydig cell tumour (LCT) and paratesticular leiomyoma in an adult man with a history of bilateral cryptorchidism. An 80-year-old man presented with a 2-month history of a left testicular lump associated with mild discomfort and a gradual increase in size on a background of bilateral cryptorchidism requiring multiple orchidopexy procedures as a child. Ultrasound confirmed a lesion suspicious for malignancy and he proceeded to a left radical orchidectomy. Histopathological assessment of the left testis revealed a concomitant testicular LCT with rare malignant features and paratesticular leiomyoma.
我们报告了首例成年男性同时患有睾丸间质细胞瘤（LCT）和睾丸旁平滑肌瘤的病例，该男性有双侧隐睾病史。一名80岁男性，有2个月的左侧睾丸肿块病史，伴有轻度不适，且在双侧隐睾病史的背景下肿块大小逐渐增大，该患者在儿童时期因双侧隐睾接受了多次睾丸固定术。超声检查证实有一个可疑为恶性的病变，随后他接受了左侧根治性睾丸切除术。左侧睾丸的组织病理学评估显示同时存在具有罕见恶性特征的睾丸LCT和睾丸旁平滑肌瘤。
