Alfarelos Joana, Gomes Gustavo, Campos Francisco, Matias Mário, Canelas Amaral, Gonçalves Matilde
Department of Urology, Centro Hospitalar de Setubal, Portugal.
Department of Pathology, Centro Hospitalar de Setubal, Portugal.
Urol Case Rep. 2017 Jan 7;11:30-32. doi: 10.1016/j.eucr.2016.11.006. eCollection 2017 Feb.
Paratesticular sarcomas are rare. Most cases reported in the literature are depending on retrospective analysis of case reports, small series, literature reviews, and expert opinion and they show different outcomes depending on several variables. The majority indicate that this may be an indolent tumor with a potential for cure if treated early. We present a case of a 58 year old man with a history of painless enlargement of the right testis. The ultrasound showed an extratesticular lesion and a right excisional of the mass was performed. The pathological examination revealed a leiomyosarcoma, and was then completed with a right radical inguinal orchiectomy. A review of the literature regarding paratesticular sarcomas presentation, diagnosis and treatment is presented in this article.
睾丸旁肉瘤较为罕见。文献中报道的大多数病例依赖于对病例报告、小样本系列研究、文献综述及专家意见的回顾性分析，且根据几个变量显示出不同的结果。多数研究表明，这可能是一种惰性肿瘤，如果早期治疗有治愈的可能。我们报告一例58岁男性患者，有右侧睾丸无痛性肿大病史。超声显示睾丸外病变，遂行右侧肿块切除术。病理检查显示为平滑肌肉瘤，随后完成了右侧根治性腹股沟睾丸切除术。本文对睾丸旁肉瘤的表现、诊断和治疗的文献进行了综述。
