Chandrashekhar Thotadamane Nagaraja, Bargunam Priyadharshini, Siddalingamurthy Ragashree Apparasanahalli
Shimoga Institute of Medical Sciences, Department of Pathology, Shivamogga, Karnataka, India.
Vardhaman Mahavir Medical College and Safdarjung Hospital, Department of Pathology, New Delhi, India.
Autops Case Rep. 2023 Aug 7;13:e2023442. doi: 10.4322/acr.2023.442. eCollection 2023.
Splenogonadal fusion is an infrequent cause of testicular or scrotal swelling with less than 250 cases reported. We report the case of a 27-year-old male who presented with painless scrotal swelling. The sonography showed a homogeneous, well-encapsulated left extratesticular mass, which was surgically removed. The gross examination revealed a grey-brown tissue below the left testis. The microscopy of the grey-brown mass revealed splenic tissue, and the testis showed maturation arrest, resulting in the diagnosis of splenogonadal fusion. These can be easily mistaken for a tumor, especially in this age group. Reporting such an entity increases awareness among clinicians, radiologists and pathologists, which will aid in preventing an orchiectomy for these patients.
脾性腺融合是导致睾丸或阴囊肿胀的罕见原因，报告的病例少于250例。我们报告一例27岁男性，表现为无痛性阴囊肿胀。超声检查显示左侧睾丸外有一个均匀、边界清晰的肿块，已通过手术切除。大体检查发现左侧睾丸下方有一块灰棕色组织。对灰棕色肿块进行显微镜检查发现是脾组织，睾丸显示成熟停滞，从而诊断为脾性腺融合。这些情况很容易被误诊为肿瘤，尤其是在这个年龄组。报告这样的病例可提高临床医生、放射科医生和病理科医生的认识，有助于避免对这些患者进行睾丸切除术。
