D'Arrigo Letterio, Costa Angela, Fraggetta Filippo, Cacciola Antonio, Bonaccorsi Astrid, Savoca Francesco, Aragona Francesco
Urology Unit, Cannizzaro Hospital, Catania.
Arch Ital Urol Androl. 2014 Sep 30;86(3):231-2. doi: 10.4081/aiua.2014.3.231.
Testicular carcinoid tumours (TCT) account for less than 1% of all testicular neoplasms. A 17-year-old male underwent radical orchiectomy for a painful indurated and increased in size right testicle; a mixed echogenic mass, with a central homogeneous area surrounded by a hypoechoic edge with calcifications was found at ultreasound with increased vascularity at color Doppler examination. Biochemical markers were within normal limits. These symptoms are not specific and the majority of TCT are only diagnosed on histopathology. Patients should undergo long-term biochemical and radiological follow-up given potential for delayed metastases, in one case 17 years after primary treatment.
睾丸类癌肿瘤（TCT）占所有睾丸肿瘤的比例不到1%。一名17岁男性因右侧睾丸疼痛、硬结且体积增大接受了根治性睾丸切除术；超声检查发现一个混合回声肿块，中央为均匀区域，周围有低回声边缘伴钙化，彩色多普勒检查显示血管增多。生化标志物在正常范围内。这些症状并不具有特异性，大多数TCT仅在组织病理学检查时才被诊断出来。鉴于存在延迟转移的可能性，患者应接受长期的生化和放射学随访，有一例在初次治疗17年后出现转移。
