Matsuki Rei, Ishii Satoru, Suzuki Tomoyuki, Sugiyama Haruhito
Department of Respiratory Medicine National Center for Global Health and Medicine Tokyo Japan.
Respirol Case Rep. 2022 Mar 22;10(4):e0937. doi: 10.1002/rcr2.937. eCollection 2022 Apr.
A 37-year-old man was admitted to our hospital with chest pain and fever. Computed tomography showed pleural effusion and irregularly marginated, elevated lesions inside diffuse pleural thickening. Detailed medical examination showed swelling of the left testicle. 18F-fluorodeoxyglucose positron emission tomography showed uptakes at the thickened pleura and left testis. Pelvic magnetic resonance imaging showed a mass in the left testis with a heterogeneous and partially calcified tumour present interiorly. Thoracoscopy was performed under local anaesthesia, enabling the observation of masses at the pleura and biopsy of the mass, which was diagnosed as malignant pleural mesothelioma. The affected testicle was resected and diagnosed as tunica vaginalis testis mesothelioma. Thus, simultaneous tunica vaginalis testis and pleural mesothelioma were diagnosed. It is necessary to closely examine parts of the body other than the chest.
一名37岁男性因胸痛和发热入院。计算机断层扫描显示有胸腔积液，弥漫性胸膜增厚内有边缘不规则、隆起的病变。详细的体格检查发现左侧睾丸肿大。18F-氟脱氧葡萄糖正电子发射断层扫描显示增厚的胸膜和左侧睾丸有摄取。盆腔磁共振成像显示左侧睾丸有一个肿块，内部有一个异质性且部分钙化的肿瘤。在局部麻醉下进行了胸腔镜检查，得以观察胸膜肿块并对其进行活检，诊断为恶性胸膜间皮瘤。切除患侧睾丸，诊断为睾丸鞘膜间皮瘤。因此，同时诊断出了睾丸鞘膜和胸膜间皮瘤。有必要仔细检查胸部以外的身体部位。
