Zeighami Shahryar, Soltani Mohammadreza, Khajeh Fatemeh, Ariafar Ali, Naghdi-Sedeh Nima
Shiraz University of Medical Sciences, Urology Department, Iran.
Fasa University of Medical Sciences, Pathology Department, Iran.
Urol Case Rep. 2020 Jun 16;33:101301. doi: 10.1016/j.eucr.2020.101301. eCollection 2020 Nov.
A 28 years old man presented with left testicular swelling for recent few months. Ultrasonography and Computed tumor scan was in favor of solid cystic mass. The patient underwent left radical orchiectomy. The pathology diagnosis with aid of Immunohistochemistry staining approved the mullerian duct origin. Papillary serous carcinoma of ovarian type(PSCOT) is diagnosed for him. The patient treated successfully he was symptom free in two years follow up after orchiectomy. Timely diagnosis of PSCOT and orchiectomy are the keys of the patient survival; because prior to tumor spreading, the patient can be discharged after orchiectomy without adjuvant treatment.
一名28岁男性近几个月出现左侧睾丸肿大。超声检查和计算机断层扫描显示为实性囊性肿块。患者接受了左侧根治性睾丸切除术。借助免疫组织化学染色的病理诊断证实为苗勒管起源。诊断为卵巢型乳头状浆液性癌（PSCOT）。患者治疗成功，睾丸切除术后两年随访无症状。PSCOT的及时诊断和睾丸切除术是患者生存的关键；因为在肿瘤扩散之前，患者睾丸切除术后无需辅助治疗即可出院。
