Rahota Razvan-George, Ploussard Guillaume, Gautier Jean-Romain, Almeras Christophe, Ducoin Henri, Tollon Christophe, Assoun Jacques, Loison Guillaume, Beauval Jean-Baptiste, Salin Ambroise
Department of Urology La Croix du Sud Hospital Quint Fonsegrives France.
Department of Pathology La Croix du Sud Hospital Quint Fonsegrives France.
IJU Case Rep. 2021 Sep 7;4(6):425-428. doi: 10.1002/iju5.12366. eCollection 2021 Nov.
Sertoliform cystadenoma is a very rare, benign lesion of the rete-testis difficult to distinguish from other malignancies of the testicle.
We present the case of a 42-year-old male who presented with a right testicular mass, asymptomatic for 1 year. Clinical examination revealed a palpable, painless, and well-delimited right testicular superior pole nodule. Testicular ultrasound confirmed the nodule, whereas serum tumoral markers were normal. The patient underwent inguinal partial orchiectomy. Intraoperative excisional biopsy and frozen section pathology were performed, reporting undetermined tumoral origin with negative surgical margins. Ischemia time was 12 minutes. The final pathology report showed a Sertoliform cystadenoma of rete testis, with immunomorphology positive for AE1, CK7, and negative surgical margins.
To our knowledge, this is the first report of testicular sparing surgery for Sertoliform cystadenoma, a very rare benign tumor of rete testis. All previously reported cases were managed by radical inguinal orchidectomy.
睾丸网管状囊腺瘤是一种非常罕见的睾丸网良性病变，很难与睾丸的其他恶性肿瘤区分开来。
我们报告一例42岁男性，右侧睾丸肿块1年无症状。临床检查发现右侧睾丸上极可触及、无痛且边界清晰的结节。睾丸超声证实了该结节，而血清肿瘤标志物正常。患者接受了腹股沟部分睾丸切除术。术中进行了切除活检和冰冻切片病理检查，报告肿瘤起源不明，手术切缘阴性。缺血时间为12分钟。最终病理报告显示为睾丸网管状囊腺瘤，免疫形态学显示AE1、CK7阳性，手术切缘阴性。
据我们所知，这是首例针对睾丸网管状囊腺瘤（一种非常罕见的睾丸网良性肿瘤）的保留睾丸手术报告。所有先前报道的病例均通过根治性腹股沟睾丸切除术进行治疗。
