胚胎性癌在超声检查中表现为睾丸内孤立性钙化肿块。
Embryonal carcinoma presenting as a calcified solitary testicular mass on ultrasound.
作者信息
Gerber Daniel, Wright Henry Collier, Sussman Rachael D, Stamatakis Lambros
机构信息
Department of Urology, MedStar Georgetown University Hospital, Washington, USA.
Department of Urology, MedStar Washington Hospital Center, Washington, USA.
出版信息
BMJ Case Rep. 2017 Jul 31;2017:bcr-2017-220081. doi: 10.1136/bcr-2017-220081.
A 24-year-old man presented with a 2-week history of a painless right testicular mass; ultrasound demonstrated a dense, solitary calcified mass. The patient elected observation after further workup showed no evidence of metastasis.A repeat ultrasound 3 months later showed interval growth and the patient underwent right radical orchiectomy. Pathology was consistent with pure embryonal carcinoma of the testis. Calcified testicular masses are typically benign but do carry a differential of spermatic granuloma, large-cell calcifying Sertoli cell tumour, trauma, tuberculosis, filariasis, calcified Leydig cell tumour and burned-out testicular tumour.To our knowledge, this is the first case report of pure embryonal carcinoma presenting as a solitary calcified testicular mass.
一名24岁男性因右侧睾丸无痛性肿块就诊，病史2周；超声检查显示为一个致密的孤立性钙化肿块。进一步检查未发现转移迹象后，患者选择观察。3个月后复查超声显示肿块有进展，患者接受了右侧根治性睾丸切除术。病理结果符合睾丸纯胚胎癌。钙化性睾丸肿块通常为良性，但鉴别诊断包括精索肉芽肿、大细胞钙化性支持细胞瘤、外伤、结核、丝虫病、钙化性间质细胞瘤和消退型睾丸肿瘤。据我们所知，这是首例以孤立性钙化睾丸肿块形式出现的纯胚胎癌病例报告。
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