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一个巨大的膀胱后囊性肿块:极为罕见且治疗棘手。

A giant retrovesical cystic mass: A rarest of rare with a management dilemma.

作者信息

Sivashankar Meganathan, D Perera Neville, Nalin Ruvinda Palehepitiya Gamage, Samarasinghe Thilina Madushan, Navarooban N

机构信息

Department of Urology, National Hospital of Sri Lanka (NHSL), Sri Lanka.

出版信息

Urol Case Rep. 2020 Dec 23;35:101548. doi: 10.1016/j.eucr.2020.101548. eCollection 2021 Mar.

Abstract

A 32-year-old man investigated for subfertility and bladder outlet obstruction. He had a palpable pelvic mass and computerized tomography (CT) pelvis demonstrated that a large cystic mass (15cm) arising from right side seminal vesicle, and another small cyst from left side seminal vesicle with unilateral hydroureteronephrosis. Following a futile attempt of endoscopic drainage, mass was excised in toto via lower midline laparotomy. Pathological examination and immunocytochemistry confirmed the mass to be an extremely rare seminal vesicle Schwannoma. To our knowledge, there are few unilateral seminal vesicle schwannomas reported in literature published in English language up to date.

摘要

一名32岁男性因生育力低下和膀胱出口梗阻接受检查。他可触及盆腔肿块,盆腔计算机断层扫描(CT)显示右侧精囊有一个大的囊性肿块(15厘米),左侧精囊有另一个小囊肿,并伴有单侧肾盂积水。在内镜引流尝试失败后,通过下腹部正中剖腹术将肿块完整切除。病理检查和免疫细胞化学证实该肿块为极其罕见的精囊神经鞘瘤。据我们所知,迄今为止,英文文献中报道的单侧精囊神经鞘瘤很少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b42c/7786043/b8e72ac8a998/gr1.jpg

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