精索去分化脂肪肉瘤的临床与病理分析

Clinical and pathological analysis of dedifferentiated liposarcoma of spermatic cord.

作者信息

Sun Yunji, Wang Fujuan, Yan Zhipeng, Zhang Heng, Xu Baoqun, Sun Maokun

机构信息

Department of Urology, Shandong Provincial Third Hospital, Shandong University, Jinan 250012, China.

Shandong Stone Disease Prevention and Treatment Center, Jinan 250012, China.

出版信息

Urol Case Rep. 2025 Jul 7;62:103122. doi: 10.1016/j.eucr.2025.103122. eCollection 2025 Sep.

DOI:10.1016/j.eucr.2025.103122

PMID:40686507

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12274687/

Abstract

The dedifferentiated liposarcoma of spermatic cord is very rare in clinical practice, which usually occurs in middle-aged and elderly men. To improve the understanding and treatment level of dedifferentiated liposarcoma of spermatic cord by sharing the clinical manifestations, imaging features, and pathological characteristics of the rare case. The patient was an elderly man with a left scrotal mass for 2 years. The postoperative pathology was consistent with the pathological features of dedifferentiated liposarcoma. At present, radical orchiectomy is the main treatment method. The successful diagnostic and therapeutic experience of this case can be referenced for clinical practice.

摘要

精索去分化脂肪肉瘤在临床实践中非常罕见，通常发生于中老年男性。通过分享该罕见病例的临床表现、影像学特征及病理特点，以提高对精索去分化脂肪肉瘤的认识及治疗水平。患者为老年男性，左侧阴囊肿物2年。术后病理符合去分化脂肪肉瘤的病理特征。目前，根治性睾丸切除术是主要治疗方法。该病例的成功诊治经验可供临床实践参考。