Müllhaupt Gautier, Mordasini Livio, Gramann Tobias, Ertel Vera, Schmid Hans-Peter, Abt Dominik
Department of Urology, Cantonal Hospital, St. Gallen, Switzerland.
Department of Pathology, Cantonal Hospital, St. Gallen, Switzerland.
Urol Case Rep. 2014 Jun 25;2(5):169-70. doi: 10.1016/j.eucr.2014.05.009. eCollection 2014 Sep.
We report on a 44-year-old man who underwent microsurgical inguinal repair for symptomatic varicocele. As an incidental finding during surgery, a yellowish tumor (9 × 5 × 4 mm) was found in the spermatic cord. Histologic examination revealed ectopic adrenocortical tissue. Ectopic adrenocortical tissue in the spermatic cord is known to appear in children and adolescents but is extremely rare in adults. Surgical removal of the tissue is recommended, although malignant transformation or functional hormonal disorders are very unlikely.
我们报告了一名44岁男性，他因有症状的精索静脉曲张接受了显微腹股沟修复术。在手术中偶然发现，精索内有一个淡黄色肿瘤（9×5×4毫米）。组织学检查显示为异位肾上腺皮质组织。精索内的异位肾上腺皮质组织在儿童和青少年中较为常见，但在成年人中极为罕见。虽然恶性转化或功能性激素紊乱的可能性非常小，但仍建议手术切除该组织。
