Bitker M O, Léo J P, Jardin A, Chatelain C
Ann Urol (Paris). 1986;20(4):238-43.
In a series of 141 patients treated over the last ten years for testicular tumour, 15 presented lesions considered to be rare: 9 Leydig cell tumours, 3 epidermoid cysts, 1 leiomyoma, 1 primary testicular lymphoma and one testicular localisation of a known leukaemia. The clinical, endocrine and histological features of these different tumours are reviewed on the basis of the present series and a wider discussion of other rare testicular tumours. Leydig cell tumours, epidermoid cysts, mature benign teratomas and testicular lymphomas are the most frequent. Leiomyomas, metastatic tumours and connective tissue tumours are exceptional. Sertoli cell tumours are rare and are similar to Leydig cell tumours in that they raise problems concerning their possible endocrine activity and the evaluation of their malignant potential. The general therapeutic rule of radical orchidectomy for any testicular tumour is still valid.
在过去十年间接受治疗的141例睾丸肿瘤患者中,有15例出现了被认为较为罕见的病变:9例莱迪希细胞瘤、3例表皮样囊肿、1例平滑肌瘤、1例原发性睾丸淋巴瘤以及1例已知白血病的睾丸局部浸润。本文基于该系列病例以及对其他罕见睾丸肿瘤更广泛的讨论,回顾了这些不同肿瘤的临床、内分泌及组织学特征。莱迪希细胞瘤、表皮样囊肿、成熟良性畸胎瘤和睾丸淋巴瘤最为常见。平滑肌瘤、转移性肿瘤和结缔组织肿瘤则极为罕见。支持细胞瘤罕见,且与莱迪希细胞瘤相似,因为它们在可能的内分泌活性及其恶性潜能评估方面引发问题。对于任何睾丸肿瘤行根治性睾丸切除术的一般治疗原则仍然有效。