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老年患者的睾丸旁 florid 囊性苗勒管化生：睾丸鞘膜罕见化生改变伴异常临床表现（肿块形成病变）的病例报告

Para-testicular florid cystic müllerianosis in an elderly patient: Case report of a rare metaplastic change of tunica vaginalis with unusual clinical presentation (mass forming lesion).

作者信息

Saleh Daniyah, Meliti Abdelrazak

机构信息

Department of Anatomic Pathology, King Faisal Specialist Hospital, And Research Center, Jeddah, Saudi Arabia.

Alfaisal University, Riyadh, Saudi Arabia.

出版信息

Urol Case Rep. 2022 Apr 7;43:102075. doi: 10.1016/j.eucr.2022.102075. eCollection 2022 Jul.

DOI:10.1016/j.eucr.2022.102075
PMID:35449512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9018140/
Abstract

Müllerian metaplasia/florid cystic Müllerianosis of the tunica vaginalis is one of the metaplastic changes described in the testis. Others include urothelial metaplasia, epidermoid metaplasia, and gastric metaplasia. Florid cystic Müllerianosis shares similar histo-morphological features and immunohistochemical profile with female counterpart endosalpingiosis. Herein, we report a case of para-testicular florid cystic Müllerianosis presented as a painless testicular mass in a 66-year-old male with normal tumor markers.

摘要

鞘膜的苗勒管化生/富于细胞的囊性苗勒管病是睾丸中描述的化生改变之一。其他改变包括尿路上皮化生、表皮样化生和胃化生。富于细胞的囊性苗勒管病与女性对应的输卵管内膜异位症具有相似的组织形态学特征和免疫组化谱。在此，我们报告一例睾丸旁富于细胞的囊性苗勒管病，表现为一名66岁男性的无痛性睾丸肿块，肿瘤标志物正常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff2b/9018140/884e99441fa7/gr3b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff2b/9018140/9ed94c1d89e4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff2b/9018140/082cdee8f23b/gr2a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff2b/9018140/75b70ac18673/gr2b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff2b/9018140/baf903792d1c/gr3a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff2b/9018140/884e99441fa7/gr3b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff2b/9018140/9ed94c1d89e4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff2b/9018140/082cdee8f23b/gr2a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff2b/9018140/75b70ac18673/gr2b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff2b/9018140/baf903792d1c/gr3a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff2b/9018140/884e99441fa7/gr3b.jpg

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本文引用的文献

1
Florid cystic mullerianosis of the testis: new pathological entity originating from a peculiar Müllerian differentiation of the testicular vaginal mesothelium.睾丸的 florid 囊性苗勒管化生：一种源自睾丸鞘膜间皮特殊苗勒管分化的新病理实体。
Histopathology. 2015 Jun;66(7):1037-41. doi: 10.1111/his.12547. Epub 2014 Nov 25.
2
Testicular papillary serous cystadenocarcinoma: a rare case report and review of the literature.睾丸乳头状浆液性囊腺癌：1例罕见病例报告并文献复习
Rare Tumors. 2011 Oct 21;3(4):e44. doi: 10.4081/rt.2011.e44. Epub 2011 Dec 23.
3
Hydrocele with surprise. Case report and review of literature.
伴有意外情况的鞘膜积液。病例报告及文献综述。
Arch Ital Urol Androl. 2010 Dec;82(4):287-90.
4
Müllerian serous cystadenoma of the scrotum following orchiopexy.睾丸固定术后阴囊的苗勒管浆液性囊腺瘤
Adv Urol. 2009;2009:610453. doi: 10.1155/2009/610453. Epub 2009 Mar 30.
5
The Müllerian vestiges and benign epithelial tumours of the epididymis.附睾的苗勒管遗迹与良性上皮性肿瘤。
J Pathol Bacteriol. 1953 Oct;66(2):417-32. doi: 10.1002/path.1700660213.