Yılmaz A, Bayraktar B, Sagiroglu J, Gucluer B
Goztepe Research and Training Hospital, İstanbul, Turkey.
J Surg Case Rep. 2011 Dec 1;2011(12):9. doi: 10.1093/jscr/2011.12.9.
Seminomas in undescended testes may present as abdominal wall tumours. A unilateral testis tumour in a 29 year old man with ipsilateral undescended testis is presented and relevant literature is reviewed. A 29 year old man presenting with a tender left lower abdominal mass was admitted to our clinic and initial diagnostic tests followed by abdominal computerized tomography (CT) and positron emission tomography/computerized tomography (PET/CT) were performed. Abdominal CT clearly demonstrated the tumour location between the lower left abdominal subcutaneous layer and the external oblique fascia. He underwent surgery and the tumour was resected via en-bloc excision. Pathological diagnosis of the resected specimen was consistent with classical seminoma and no distant metastasis was detected with PET/CT. He was referred to oncology clinic after discharge. Tumours of undescended testis can present as an abdominal wall mass and clinicians must be aware of their existence.
隐睾中的精原细胞瘤可能表现为腹壁肿瘤。本文报告了一名29岁男性,其单侧睾丸肿瘤合并同侧隐睾,并对相关文献进行了综述。一名29岁男性因左下腹部肿块伴压痛入院,我们诊所对其进行了初步诊断检查,随后进行了腹部计算机断层扫描(CT)和正电子发射断层扫描/计算机断层扫描(PET/CT)。腹部CT清楚地显示肿瘤位于左下腹皮下层和腹外斜肌腱膜之间。他接受了手术,肿瘤通过整块切除得以切除。切除标本的病理诊断与经典精原细胞瘤一致,PET/CT未检测到远处转移。出院后他被转诊至肿瘤科门诊。隐睾肿瘤可表现为腹壁肿块,临床医生必须意识到它们的存在。