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82岁男性罕见的睾丸旁侵袭性血管黏液瘤酷似附睾肿瘤:病例报告

Rare paratesticular aggressive angiomyxoma mimicking an epididymal tumor in an 82-year-old man: Case report.

作者信息

Chen Chi-Fang, Wang Tao-Yeuan, Chen Marcelo, Lin Yung-Chieh

机构信息

Department of Urology, MacKay Memorial Hospital, Taipei City, Taiwan (R.O.C.).

Department of Pathology, Tamsui Branch, MacKay Memorial Hospital, New Taipei City, Taiwan (R.O.C.).

出版信息

Open Med (Wars). 2021 Jun 30;16(1):973-977. doi: 10.1515/med-2021-0317. eCollection 2021.

Abstract

Aggressive angiomyxoma (AAM) is a rare mesenchymal myxoid tumor, and most cases occur in the pelvic region or perineum of adult females. AAM is very rare in males. Most of these cases have been diagnosed in patients aged 30-60 years, and the tumors involved the pelvic cavity, scrotum, or spermatic cord. AAM can mimic inguinal hernia, hydrocele, or paratesticular neoplasm. Four male cases have been reported with paratesticular AAM mimicking a testicular/epididymal tumor, and to the best of our knowledge, this is the oldest patient in the literature. Because of its rarity, making an exact diagnosis before surgery is difficult. Herein, we present a case of AAM in an 82-year-old man and review the literature.

摘要

侵袭性血管黏液瘤(AAM)是一种罕见的间叶黏液样肿瘤,大多数病例发生于成年女性的盆腔区域或会阴。AAM在男性中非常罕见。这些病例大多在30至60岁的患者中被诊断出来,肿瘤累及盆腔、阴囊或精索。AAM可模仿腹股沟疝、鞘膜积液或睾丸旁肿瘤。有4例男性睾丸旁AAM病例被报道,其表现类似睾丸/附睾肿瘤,据我们所知,这是文献中年龄最大的患者。由于其罕见性,术前做出准确诊断很困难。在此,我们报告一例82岁男性的AAM病例并复习相关文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c58/8247787/c77d2f8c9ffb/j_med-2021-0317-fig001.jpg

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