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隐睾内转移性胆管癌和精原细胞瘤构成的碰撞瘤：一例报告

Collision tumor comprising metastatic cholangiocarcinoma and seminoma in an undescended testis: a case report.

作者信息

Woo Chang Gok, Lee Ok-Jun, Yang Yaewon, Kim Yong June, Lee Jisun, Son Seung-Myoung

机构信息

Department of Pathology, Chungbuk National University Hospital, Cheongju, Republic of Korea.

Chungbuk National University College of Medicine, Cheongju, Republic of Korea.

出版信息

J Int Med Res. 2019 Nov;47(11):5809-5816. doi: 10.1177/0300060519869448. Epub 2019 Sep 9.

DOI:10.1177/0300060519869448
PMID:31495248
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6862903/
Abstract

Testicular metastasis of solid tumors is uncommon. Common primary sites of metastatic tumors to the testis are the lungs and prostate. Cryptorchidism is associated with a four-fold increase in the risk of a testicular germ cell tumor of which seminoma is the most common type. We report an extremely rare case of a collision tumor that comprised testicular metastasis of intrahepatic cholangiocarcinoma and a seminoma in an undescended testis. To the best of our knowledge, this is the first case of this type of tumor to be described. Awareness that metastatic intrahepatic cholangiocarcinoma may present as a testicular tumor may aid diagnosis and management of such patients.

摘要

实体瘤的睾丸转移并不常见。转移至睾丸的肿瘤常见原发部位是肺和前列腺。隐睾症会使睾丸生殖细胞肿瘤的风险增加四倍，其中精原细胞瘤是最常见的类型。我们报告了一例极为罕见的碰撞瘤病例，该病例包括肝内胆管癌的睾丸转移以及隐睾内的精原细胞瘤。据我们所知，这是此类肿瘤首次被描述。认识到转移性肝内胆管癌可能表现为睾丸肿瘤，有助于对此类患者的诊断和管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/ef56abfdfb29/10.1177_0300060519869448-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/ef9e61102969/10.1177_0300060519869448-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/a3821ef35eb9/10.1177_0300060519869448-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/d641f917399e/10.1177_0300060519869448-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/8844a1033df6/10.1177_0300060519869448-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/33f0b9ce90f5/10.1177_0300060519869448-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/409d63ea3b0e/10.1177_0300060519869448-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/ef56abfdfb29/10.1177_0300060519869448-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/ef9e61102969/10.1177_0300060519869448-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/a3821ef35eb9/10.1177_0300060519869448-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/d641f917399e/10.1177_0300060519869448-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/8844a1033df6/10.1177_0300060519869448-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/33f0b9ce90f5/10.1177_0300060519869448-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/409d63ea3b0e/10.1177_0300060519869448-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf9e/6862903/ef56abfdfb29/10.1177_0300060519869448-fig7.jpg

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本文引用的文献

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Prostatic metastasis from intrahepatic cholangiocarcinoma.肝内胆管癌的前列腺转移
Urol Case Rep. 2018 Jul 18;20:90-91. doi: 10.1016/j.eucr.2018.07.015. eCollection 2018 Sep.
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Intrahepatic cholangiocarcinoma: current perspectives.肝内胆管癌：当前观点
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Intrahepatic cholangiocarcinoma: Epidemiology, risk factors, diagnosis and surgical management.肝内胆管癌：流行病学、危险因素、诊断及手术治疗
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Penile metastasis from primary cholangiocarcinoma: the first case report.原发性胆管细胞癌阴茎转移：首例报告。
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Testicular cancer and cryptorchidism.睾丸癌与隐睾症。
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Cryptorchidism and testicular germ cell tumors: comprehensive meta-analysis reveals that association between these conditions diminished over time and is modified by clinical characteristics.隐睾症与睾丸生殖细胞肿瘤：综合荟萃分析表明，这两种病症之间的关联随时间推移而减弱，且受临床特征影响。
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Cholangiocarcinoma presenting as a solitary epididymal metastasis: a case report and review of the literature.胆管癌表现为孤立附睾转移：病例报告及文献复习。
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Testicular metastases from solid tumors: an autopsy study.实体瘤的睾丸转移：一项尸检研究。
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