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睾丸内平滑肌瘤：从一例病例报告中汲取的经验教训以及对扩充小型病例系列的另一贡献

Intratesticular Leiomyoma: Lessons Learned From a Case Report and Another Contribution to Enlarge a Small World Series.

作者信息

Haouane Mohamed Amine, Hajji Fouad, Ghoundale Omar, Azami Mohamed Amine

机构信息

Department of Pathology, Faculty of Medicine and Pharmacy, Cadi Ayyad University/Ibn Sina Military Hospital, Marrakech, MAR.

Department of Urology, Cadi Ayyad University/Ibn Sina Military Hospital, Marrakech, MAR.

出版信息

Cureus. 2023 Feb 19;15(2):e35173. doi: 10.7759/cureus.35173. eCollection 2023 Feb.

DOI:10.7759/cureus.35173
PMID:36960242
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10030158/
Abstract

Leiomyomas are benign, slow-growing, mesenchymal neoplasms that originate from smooth muscle. We report a case of a 44-year-old man presented with an asymptomatic left scrotal mass. Scrotal ultrasonography (US) showed a 3.9 cm well-limited, hypoechoic intratesticular mass. The patient underwent a radical left orchiectomy and histologic findings revealed an intratesticular leiomyoma. To our best knowledge, so far, this is the 19 case of intratesticular leiomyoma to be reported in the literature. Furthermore, intraoperative frozen section examination should have been part of the management armamentarium in this case, leading to enhanced testicular preservation.

摘要

平滑肌瘤是起源于平滑肌的良性、生长缓慢的间叶性肿瘤。我们报告一例44岁男性，表现为无症状的左侧阴囊肿块。阴囊超声检查显示一个3.9厘米界限清楚的低回声睾丸内肿块。患者接受了左侧根治性睾丸切除术，组织学检查结果显示为睾丸内平滑肌瘤。据我们所知，这是文献中报道的第19例睾丸内平滑肌瘤。此外，术中冰冻切片检查本应是该病例治疗手段的一部分，从而提高睾丸保留率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b3d/10030158/911fdecf5f70/cureus-0015-00000035173-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b3d/10030158/2745f417b33d/cureus-0015-00000035173-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b3d/10030158/62b1c292c01d/cureus-0015-00000035173-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b3d/10030158/1d1c87cdda88/cureus-0015-00000035173-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b3d/10030158/911fdecf5f70/cureus-0015-00000035173-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b3d/10030158/2745f417b33d/cureus-0015-00000035173-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b3d/10030158/62b1c292c01d/cureus-0015-00000035173-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b3d/10030158/1d1c87cdda88/cureus-0015-00000035173-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b3d/10030158/911fdecf5f70/cureus-0015-00000035173-i04.jpg

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引用本文的文献

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Int J Surg Case Rep. 2024 Dec;125:110490. doi: 10.1016/j.ijscr.2024.110490. Epub 2024 Oct 19.

本文引用的文献

1
Intratesticular leiomyoma: A case report and a literature review.睾丸内平滑肌瘤：一例病例报告及文献综述
Int J Surg Case Rep. 2020;71:217-221. doi: 10.1016/j.ijscr.2020.05.030. Epub 2020 May 23.
2
Leiomyoma of the testis: case report, review of literature, and discussing the role of contrast-enhanced ultrasound.睾丸平滑肌瘤：病例报告、文献综述及探讨超声造影的作用
Urol Case Rep. 2020 Apr 1;31:101168. doi: 10.1016/j.eucr.2020.101168. eCollection 2020 Jul.
3
Intratesticular Leiomyoma: A Case Report.睾丸内平滑肌瘤：病例报告。
Mil Med. 2020 Aug 14;185(7-8):e1320-e1321. doi: 10.1093/milmed/usz418.
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A rare case of paratesticular leiomyoma in a child.一例儿童睾丸旁平滑肌瘤的罕见病例。
Turk J Urol. 2018 Sep 12;45(2):154-156. doi: 10.5152/tud.2018.28813. Print 2019 Mar.
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A rare case of intratesticular leiomyoma.睾丸内平滑肌瘤1例罕见病例。
Singapore Med J. 2015 Sep;56(9):e145-6. doi: 10.11622/smedj.2015139.
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Solid testicular mass in a 63-year-old man.一名63岁男性的睾丸实性肿块。
Urology. 2013 Jan;81(1):9-11. doi: 10.1016/j.urology.2012.08.050. Epub 2012 Nov 13.
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Leiomyoma of testis -a case report.睾丸平滑肌瘤——病例报告
Indian J Surg. 2011 Jun;73(3):233-5. doi: 10.1007/s12262-010-0178-1. Epub 2010 Nov 18.
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Organ-sparing surgery for adult testicular tumours: a systematic review of the literature.成人睾丸肿瘤保器官手术：文献系统评价。
Eur Urol. 2010 May;57(5):780-90. doi: 10.1016/j.eururo.2010.01.014. Epub 2010 Jan 20.
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Leiomyoma of the testis: a rare testicular mass.睾丸平滑肌瘤：一种罕见的睾丸肿物。
J Clin Ultrasound. 2008 May;36(4):240-2. doi: 10.1002/jcu.20398.
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Accuracy of frozen section examination of testicular tumors of uncertain origin.起源不明的睾丸肿瘤冰冻切片检查的准确性。
Eur Urol. 2002 Mar;41(3):290-3. doi: 10.1016/s0302-2838(02)00004-0.