Hannappel Tanner D, DeVries Matthew J, Hansen Neil J
University of Nebraska College of Medicine, Omaha, NE, USA.
University of Nebraska Medical Center, Omaha, NE, USA.
Radiol Case Rep. 2020 Apr 22;15(7):809-811. doi: 10.1016/j.radcr.2020.04.004. eCollection 2020 Jul.
We present the case of a 32-year-old male who presented with a growing scrotal mass initially diagnosed as benign adenomatoid tumor on ultrasound 6 years prior. Repeat ultrasound showed an abnormal extra-testicular mass with nodular and cystic components and internal vascularity. A computed tomography scan of the abdomen and pelvis confirmed a right extra-testicular scrotal mass with cystic and solid enhancing components. The patient underwent radical orchiectomy and postoperative pathology diagnosed mesothelioma of the tunica vaginalis of the testis. Mesothelioma of the tunica vaginalis of the testis is an exceptionally rare disease. We discuss the risk factors, imaging features, and treatment strategies of the disease.
我们报告一例32岁男性病例，该患者阴囊肿物逐渐增大，6年前超声检查初步诊断为良性腺瘤样瘤。复查超声显示睾丸外异常肿物，有结节状和囊性成分及内部血管。腹部和盆腔计算机断层扫描证实右侧睾丸外阴囊肿物，有囊性和实性强化成分。患者接受了根治性睾丸切除术，术后病理诊断为睾丸鞘膜间皮瘤。睾丸鞘膜间皮瘤是一种极其罕见的疾病。我们讨论了该疾病的危险因素、影像学特征及治疗策略。
