Yang Fan, Wu Jiawen, Lu Xuwei, Guo Zhuifeng, Qing Liang, He Chang
Department of Urology, Shanghai Minhang Hospital, Fudan University, Shanghai, China.
Andrologia. 2020 Apr;52(3):e13517. doi: 10.1111/and.13517. Epub 2020 Jan 21.
Primary rhabdomyosarcoma of tunica vaginalis is very rare. We report a case of a 15-year-old man presenting as hydrocele. Pre-operatively, no masses were detected by ultrasonography. Hydrocelectomy was performed. At surgery, a 0.8 cm polypoid nodule and diffusely thickened tunica were found. Pathologic examination finally revealed rhabdomyosarcoma. A PET-CT was then performed and indicated scrotal implantation metastasis. The patient underwent radical inguinal orchiectomy and was treated with chemotherapy and radiotherapy after surgery. At 12 months of follow-up, he remained disease-free.
原发性睾丸鞘膜横纹肌肉瘤非常罕见。我们报告一例15岁男性患者，表现为鞘膜积液。术前超声检查未发现肿块。进行了鞘膜积液切除术。手术中，发现一个0.8厘米的息肉样结节和弥漫性增厚的鞘膜。病理检查最终确诊为横纹肌肉瘤。随后进行了PET-CT检查，提示阴囊种植转移。患者接受了根治性腹股沟睾丸切除术，并在术后接受了化疗和放疗。随访12个月时，他仍无疾病复发。
