一名26岁尼日利亚男子的睾丸旁纤维性假瘤：病例报告
Paratesticular fibrous pseudotumour in a 26-year-old Nigerian man: A case report.
作者信息
Egharevba P A, Omoseebi O, Okunlola A I, Achebe C C, Omisanjo O A
机构信息
Department of Surgery, Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria; Department of Surgery, College of Medicine and Health Sciences, Afe Babalola University Ado-Ekiti.
Department of Anatomic Pathology, Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria.
出版信息
Int J Surg Case Rep. 2021 Oct;87:106446. doi: 10.1016/j.ijscr.2021.106446. Epub 2021 Sep 23.
INTRODUCTION AND IMPORTANCE
Benign fibroblastic proliferation located within the scrotum are uncommon. They are also identified as fibrous pseudotumour and usually arise from the paratesticular region. Their pathogenesis is unknown. These tumours are difficult to diagnose pre-operatively and resemble intra-scrotal malignancy.
CASE PRESENTATION
We managed a 26-year-old Nigerian man with a five-year history of left sided hemiscrotal swelling. The mass was excised, and histology showed benign fibroblastic proliferation.
DISCUSSION
Most paratesticular tumours are benign. Imaging studies that show the mass as separate from the testis, normal levels of tumour markers and clinical features not suggestive of malignancy make the case for organ-sparing mass excision, in the treatment of paratesticular fibrous pseudotumour, very strong.
CONCLUSION
Intra-scrotal benign fibrous proliferation is a challenge to diagnose pre-operatively but excision of this benign mass without an orchidectomy is practicable when pre-operative assessment suggests a benign disease.
引言与重要性
位于阴囊内的良性纤维母细胞增生并不常见。它们也被称为纤维性假瘤，通常起源于睾丸旁区域。其发病机制尚不清楚。这些肿瘤术前难以诊断，且类似阴囊内恶性肿瘤。
病例介绍
我们诊治了一名26岁的尼日利亚男性，他有左侧阴囊半侧肿胀5年的病史。肿块被切除，组织学检查显示为良性纤维母细胞增生。
讨论
大多数睾丸旁肿瘤是良性的。影像学检查显示肿块与睾丸分离、肿瘤标志物水平正常以及临床特征不提示恶性，这使得在治疗睾丸旁纤维性假瘤时，保留器官的肿块切除术的理由非常充分。
结论
阴囊内良性纤维增生术前诊断具有挑战性，但当术前评估提示为良性疾病时，不进行睾丸切除术而切除这种良性肿块是可行的。
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