Zeitouni Layla, Rahman Shahinur, Chan Kimberley, Thway Khin, Arora Ajay, Hammadeh Mohamed Y
University of Glasgow, School of Medicine, Dentistry & Nursing, UK.
Urology Department, Lewisham and Greenwich NHS Trust, London, UK.
Urol Case Rep. 2020 Sep 16;33:101416. doi: 10.1016/j.eucr.2020.101416. eCollection 2020 Nov.
Paratesticular liposarcomas are uncommon malignancies, often misdiagnosed preoperatively, that present as a painless scrotal mass. There is no universal consensus on their management due to scarcity of reported cases. Early detection and prompt surgical intervention provide the best disease outcome. We present the case of a 74-year-old man with a painless left testicular mass. Ultrasound and CT scan showed a paratesticular tumour. He underwent left high inguinal orchidectomy. Histopathological, immunohistochemical and cytogenetics studies confirmed the diagnosis of a Grade 2 well differentiated paratesticular liposarcoma with clear surgical margins. The case was referred to our regional sarcoma centre and currently undergoes regular follow-up.
睾丸旁脂肪肉瘤是一种罕见的恶性肿瘤，术前常被误诊，表现为无痛性阴囊肿块。由于报道的病例较少，对于其治疗尚无普遍共识。早期发现并及时进行手术干预可提供最佳的疾病治疗结果。我们报告一例74岁男性，有一个无痛性左侧睾丸肿块。超声和CT扫描显示为睾丸旁肿瘤。他接受了左侧高位腹股沟睾丸切除术。组织病理学、免疫组织化学和细胞遗传学研究证实诊断为2级高分化睾丸旁脂肪肉瘤，手术切缘清晰。该病例被转诊至我们地区的肉瘤中心，目前正在接受定期随访。
