Fakih Kausar A, Solanki Ashvi U, Iyer Sandhya, Menon Santosh, Solanki Riddhi
General Surgery, Lokmanya Tilak Municipal Medical College & General Hospital, Mumbai, IND.
Pathology, Tata Memorial Hospital, Mumbai, IND.
Cureus. 2024 Jun 14;16(6):e62404. doi: 10.7759/cureus.62404. eCollection 2024 Jun.
Paratesticular tumours are rare malignancies that are frequently misdiagnosed on presentation. We present a case of an elderly male with a six-month history of painless, progressively increasing left inguinal swelling. On preliminary examination and investigation, the swelling was misdiagnosed as a lymph nodal mass. Subsequently, a magnetic resonance imaging study detected a lesion that was not distinct from the spermatic cord. Biopsy testing of the said lesion was suggestive of poorly differentiated spindle cell neoplasm. The patient then underwent a high inguinal orchidectomy. Histopathological examination confirmed the diagnosis of a high-grade paratesticular dedifferentiated liposarcoma with rhabdomyoblastic differentiation. Due to the rarity of such tumours, the need for adjuvant chemotherapy and radiotherapy is debated.
睾丸旁肿瘤是罕见的恶性肿瘤，就诊时常常被误诊。我们报告一例老年男性病例，其左侧腹股沟无痛性肿胀进行性增大6个月。初步检查和调查时，该肿胀被误诊为淋巴结肿块。随后，磁共振成像研究发现一个与精索无明显区别的病变。对该病变进行活检检测提示为低分化梭形细胞瘤。患者随后接受了高位腹股沟睾丸切除术。组织病理学检查证实诊断为伴有横纹肌母细胞分化的高级别睾丸旁去分化脂肪肉瘤。由于此类肿瘤罕见，辅助化疗和放疗的必要性存在争议。
