Armas-Alvarez A L, Salinas-Sánchez A S, Atienzar-Tobarra M, Virseda-Rodríguez J A
Servicio de Urología. Complejo Hospitalario Universitario de Albacete. España.
Servicio de Anatomía Patológica. Complejo Hospitalario Universitario de Albacete. España.
Arch Esp Urol. 2016 Mar;69(2):86-9.
Basal cell carcinoma and leiomyoma of the scrotum are rare. We describe three cases of scrotal tumors and provide information regarding this disease.
Between 2000 and 2014, 3 patients with scrotal tumors were diagnosed and treated at our institution. A review was performed using the clinical records of these patients.
We describe two cases of basal cell carcinoma of the scrotum in men 72 and 71 year old, who presented with a left scrotal lesion that was excised and the pathological diagnosis was basal cell carcinoma. In one patient, surgical margin was affected and a recurrent basal cell carcinoma appeared. It was excised with enlargement of surgical margin. We also describe a case of scrotal leiomyoma in a 48 year old man with an elastic, firm and nontender lesion in the right scrotum. During follow-up the patients remain clinically asymptomatic.
Scrotal lesions in the elderly should be excised and submitted for pathological examination. The basal cell carcinoma of the scrotum appears as a plaque, nodule or ulcer. Long-term surveillance is recommended for these patients. Leiomyoma of the scrotum is presented as a non-ulcerative nodule and his treatment is complete surgical excision.
阴囊基底细胞癌和平滑肌瘤较为罕见。我们描述三例阴囊肿瘤病例并提供有关该疾病的信息。
2000年至2014年间，我院诊断并治疗了3例阴囊肿瘤患者。利用这些患者的临床记录进行了回顾性分析。
我们描述了两例阴囊基底细胞癌病例，患者分别为72岁和71岁男性，均表现为左侧阴囊病变，病变切除后病理诊断为基底细胞癌。其中1例患者手术切缘受影响，出现复发性基底细胞癌，再次切除时扩大了手术切缘。我们还描述了1例48岁男性阴囊平滑肌瘤病例，其右侧阴囊有一个弹性、质地硬且无压痛的病变。随访期间患者临床无症状。
老年患者的阴囊病变应切除并进行病理检查。阴囊基底细胞癌表现为斑块、结节或溃疡。建议对这些患者进行长期监测。阴囊平滑肌瘤表现为非溃疡性结节，其治疗方法是完整手术切除。
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