Gelikman David G, Imam Ahmad S, Parker Justin, Leone Andrew R
College of Medicine, University of Central Florida, Orlando, FL, USA.
Department of Urology, University of South Florida, Tampa, FL, USA.
Urol Case Rep. 2023 Feb 20;47:102360. doi: 10.1016/j.eucr.2023.102360. eCollection 2023 Mar.
Tumors of the para-testicular adnexa are very rare and are typically histologically diagnosed as adenomatoid neoplasms, leiomyomata, or smooth muscle hyperplasia. Though these masses are usually benign, the potential for malignancy and mass effect causing intrascrotal discomfort necessitate proper diagnosis and excision. Herein, we describe a unique case of gradual, atraumatic testicular dislocation in a 40-year-old male caused by smooth muscle hyperplasia of the testicular adnexa affecting the epididymis and vas deferens. This case highlights the diagnostic and surgical challenges associated with this presentation.
睾丸旁附件肿瘤非常罕见，组织学上通常诊断为腺瘤样瘤、平滑肌瘤或平滑肌增生。尽管这些肿块通常是良性的，但恶性的可能性以及肿块效应导致阴囊内不适，因此需要进行正确的诊断和切除。在此，我们描述了一例独特的病例，一名40岁男性因睾丸附件的平滑肌增生影响附睾和输精管，导致渐进性、无创伤性睾丸脱位。该病例突出了与此表现相关的诊断和手术挑战。
