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脾性腺融合:一种罕见的睾丸旁病变及其超声诊断方法

Splenogonadal fusion: A rare paratesticular lesion and how to recognise it on ultrasound.

作者信息

Seager Matthew John, Alexander Sarah, Muneer Asif, Walkden Miles

机构信息

Department of Radiology, University College Hospital, UK.

Department of Histopathology, University College Hospital, UK.

出版信息

Ultrasound. 2020 Feb;28(1):54-57. doi: 10.1177/1742271X19876085. Epub 2019 Oct 3.

Abstract

INTRODUCTION

Splenogonadal fusion is a rare developmental disorder that results in a gonadal or paragonadal mass due to the close proximity of the developing spleen and gonad.

CASE REPORT

We describe a case of splenogonadal fusion presenting as a paratesticular mass in a 25-year-old male. This was ultimately diagnosed on surgical biopsy.

DISCUSSION

Splenogonadal fusion is a rare abnormality but can be managed conservatively. The sonographic features and the differential diagnosis are highlighted.

CONCLUSION

Through this case, we highlight the clinical and sonographic features of splenogonadal fusion. Awareness amongst ultrasound practitioners is important, given that it can be managed conservatively, and means of a non-invasive diagnosis are highlighted.

摘要

引言

脾性腺融合是一种罕见的发育障碍,由于发育中的脾脏和性腺距离过近,导致性腺或性腺旁出现肿块。

病例报告

我们描述了一例25岁男性患者,其脾性腺融合表现为睾丸旁肿块。最终通过手术活检得以确诊。

讨论

脾性腺融合是一种罕见的异常情况,但可以保守治疗。文中强调了超声特征及鉴别诊断。

结论

通过该病例,我们突出了脾性腺融合的临床和超声特征。鉴于其可保守治疗,超声从业者提高认识很重要,文中还强调了非侵入性诊断方法。

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本文引用的文献

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Discontinuous splenogonadal fusion: new sonographic findings.脾性腺融合不连续:新的超声表现。
Pediatr Radiol. 2013 Dec;43(12):1652-5. doi: 10.1007/s00247-013-2730-1. Epub 2013 Jun 11.
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Splenicgonadal fusion.脾性腺融合。
Am J Pathol. 1956 Jan-Feb;32(1):15-33.
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One hundred years of splenogonadal fusion.
Urology. 1990 Jun;35(6):471-5. doi: 10.1016/0090-4295(90)80097-7.

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