Alsunbul Abdulrahman, Alsuhaibani Shaheed, Al Ali Hamed, Alhussain Turki, Aldawsari Nasser, Alhathal Naif
King Faisal Specialist Hospital, Urology Department, Riyadh, Saudi Arabia.
Prince Sultan Military Medical City, Urology Department, Riyadh, Saudi Arabia.
Urol Case Rep. 2020 Jun 17;33:101307. doi: 10.1016/j.eucr.2020.101307. eCollection 2020 Nov.
Splenogonadal fusion is a rare benign congenital anomaly with few cases described in the literature. It is 16 times more common in males than in females. A 22 year-old healthy male with cryptorchidism presented with preoperative imaging strongly suggestive of malignancy. Histopathology after left orchiectomy showed mixed splenic and testicular tissue with no sign of malignancy. Splenogonadal fusion is rarely diagnosed preoperatively. It should be included in differential diagnoses in patients presenting with a testicular or abdominal mass. Greater recognition of this rare anomaly may facilitate testis sparing surgery in future cases.
脾性腺融合是一种罕见的先天性良性异常，文献中描述的病例较少。男性发病比女性常见16倍。一名22岁患有隐睾症的健康男性术前影像学检查强烈提示为恶性肿瘤。左侧睾丸切除术后的组织病理学检查显示为脾脏和睾丸混合组织，无恶性迹象。脾性腺融合术前很少被诊断出来。对于出现睾丸或腹部肿块的患者，应将其纳入鉴别诊断。对这种罕见异常的更多认识可能会为未来的病例实施保留睾丸手术提供便利。
