90岁患者的经典型睾丸精原细胞瘤罕见病例：一例报告
Unusual case of classic testicular seminoma in a 90-year-old patient: a case report.
作者信息
Al-Mousa Ahmad, Shashaa Mohammad Nour, Alkarrash Mohamad Shadi, Alkhamis Mohamad, Ghabreau Lina, Dandal Mouhsen
机构信息
Department of Urology, Faculty of Medicine, University of Aleppo, Aleppo, Syria.
Faculty of Medicine, University of Aleppo, Aleppo, Syria.
出版信息
J Med Case Rep. 2020 Oct 9;14(1):182. doi: 10.1186/s13256-020-02517-3.
BACKGROUND
Seminoma is the most common subtype of testicular cancer and occurs most commonly in patients aged 30-49 years, but decreases to a very low level in men in their 60s or older.
CASE PRESENTATION
A 90-year-old Syrian man with a 6-year history of an increase in size of his right scrotum, presented to the urological clinic and, on clinical examination, the findings suggested testicular tumor. After orchiectomy and histology results based on microscopic and immunohistochemical examinations, a pure seminoma was diagnosed, so we describe in this case report the second-oldest patient with classical seminoma in the medical literature.
CONCLUSION
This case report has been written to focus on the probability of any type of testicular tumor occurring at any age or decade; urologists should consider seminoma as a differential diagnosis with any testicular swelling even in elderly patients.
背景
精原细胞瘤是睾丸癌最常见的亚型，最常发生于30 - 49岁的患者，但在60岁及以上男性中的发病率降至极低水平。
病例介绍
一名90岁的叙利亚男性，右侧阴囊增大已有6年病史，前往泌尿外科诊所就诊。临床检查结果提示睾丸肿瘤。经睾丸切除及基于显微镜和免疫组织化学检查的组织学结果，诊断为纯精原细胞瘤。因此，我们在本病例报告中描述了医学文献中第二高龄的经典精原细胞瘤患者。
结论
撰写本病例报告旨在强调任何年龄段或年代都有可能发生任何类型的睾丸肿瘤；泌尿外科医生应将精原细胞瘤视为任何睾丸肿大的鉴别诊断，即使是老年患者。
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