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两例原发性睾丸淋巴瘤沿精索和性腺血管直接蔓延

Two Cases of Primary Testicular Lymphoma Presenting with Direct Spread along the Spermatic Cord and Gonadal Vessels.

作者信息

Ellatif Mostafa, Kumar Raekha, Weller Alexander, Katz David, Vrentzou Eirini

机构信息

Department of Radiology, Northwick Park Hospital, Watford Road, London HA1 3UJ, UK.

出版信息

Case Rep Radiol. 2019 Jun 18;2019:5953618. doi: 10.1155/2019/5953618. eCollection 2019.

DOI:10.1155/2019/5953618
PMID:31316854
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6604472/
Abstract

Primary testicular lymphoma is a rare testicular neoplasm that mainly affects elderly patients, with Human Immunodeficiency Virus (HIV) being a known risk factor in the younger population. Approximately 20% of patients will have disseminated disease with extra-nodal involvement at clinical presentation. Rarely, direct spread along the spermatic cord and gonadal vessels can occur and has been described in the literature. We present two cases of this phenomenon where the primary testicular tumour has spread along the gonadal vein to its origin at the inferior vena cava.

摘要

原发性睾丸淋巴瘤是一种罕见的睾丸肿瘤，主要影响老年患者，而人类免疫缺陷病毒（HIV）是年轻人群中已知的危险因素。约20%的患者在临床表现时会出现伴有结外受累的播散性疾病。罕见情况下，肿瘤可沿精索和性腺血管直接蔓延，文献中已有相关描述。我们报告两例这种现象，即原发性睾丸肿瘤沿性腺静脉蔓延至其在下腔静脉的起源处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/2a52a6d48a06/CRIRA2019-5953618.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/7a5c4f02f275/CRIRA2019-5953618.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/29f6288a3834/CRIRA2019-5953618.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/219b456192d6/CRIRA2019-5953618.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/7aade3f583d9/CRIRA2019-5953618.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/8fd6f1802c25/CRIRA2019-5953618.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/62b4d4dbff4d/CRIRA2019-5953618.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/5d8d6f850dbf/CRIRA2019-5953618.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/2a52a6d48a06/CRIRA2019-5953618.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/7a5c4f02f275/CRIRA2019-5953618.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/29f6288a3834/CRIRA2019-5953618.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/219b456192d6/CRIRA2019-5953618.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/7aade3f583d9/CRIRA2019-5953618.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/8fd6f1802c25/CRIRA2019-5953618.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/62b4d4dbff4d/CRIRA2019-5953618.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/5d8d6f850dbf/CRIRA2019-5953618.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d97/6604472/2a52a6d48a06/CRIRA2019-5953618.008.jpg

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本文引用的文献

1
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BJR Case Rep. 2018 Sep 8;5(1):20180063. doi: 10.1259/bjrcr.20180063. eCollection 2019 Feb.
2
Unusual continuous intra-abdominal spread of primary testicular lymphoma along the spermatic cord and gonadal vessels: Report of 2 cases.原发性睾丸淋巴瘤沿精索和性腺血管在腹腔内异常连续扩散：2例报告
Radiol Case Rep. 2015 Aug 28;10(4):76-80. doi: 10.1016/j.radcr.2015.06.004. eCollection 2015 Dec.
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Primary testicular lymphoma.原发性睾丸淋巴瘤。
Imaging of primary testicular lymphoma with unusual intraabdominal spread along the spermatic cord and gonadal vein.
原发性睾丸淋巴瘤沿精索和性腺静脉出现不寻常的腹腔内播散的影像学表现。
Radiol Case Rep. 2020 Dec 17;16(3):419-424. doi: 10.1016/j.radcr.2020.12.003. eCollection 2021 Mar.
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