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精索多发性血管脂肪瘤：一例报告

Multiple Angiolipomas of the Spermatic Cord: A Case Report.

作者信息

Teshima Kazune, Hakariya Tomoaki, Aoki Daiyu, Nishimura Naoki, Sato Shunsuke, Nakashima Masahiro

机构信息

Department of Urology Japan Community Healthcare Organization Isahaya General Hospital Nagasaki Japan.

Department of Pathology Japan Community Healthcare Organization Isahaya General Hospital Nagasaki Japan.

出版信息

IJU Case Rep. 2025 Jun 26;8(5):445-448. doi: 10.1002/iju5.70061. eCollection 2025 Sep.

DOI:10.1002/iju5.70061
PMID:40909317
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12408163/
Abstract

INTRODUCTION

We report a rare case of multiple spermatic cord angiolipomas.

CASE PRESENTATION

An 85-year-old man with a history of laparoscopic right nephrectomy for renal cell carcinoma was referred for evaluation of a palpable right scrotal mass. Ultrasonography showed a single solid mass. Computed tomography and magnetic resonance imaging revealed a solid nodule in contact with the right spermatic cord and a fatty mass below the nodule. Right inguinal orchiectomy was performed. Histopathological examination of the surgical specimen was consistent with angiolipoma. He was discharged 4 days postoperatively, and no recurrence has been observed during the subsequent 8 months.

CONCLUSION

Angiolipomas are benign and rarely occur in paratesticular tissue. They should be distinguished from liposarcomas, given the differences in treatment and prognosis. Diagnosis requires surgical resection and histopathological examination. Once resected, angiolipomas rarely recur, and the prognosis is good.

摘要

引言

我们报告一例罕见的多发性精索血管脂肪瘤病例。

病例介绍

一名85岁男性，有因肾细胞癌行腹腔镜右肾切除术病史，因右侧阴囊可触及肿块前来评估。超声检查显示一个实性肿块。计算机断层扫描和磁共振成像显示一个与右侧精索相连的实性结节以及结节下方的脂肪性肿块。行右侧腹股沟睾丸切除术。手术标本的组织病理学检查结果符合血管脂肪瘤。他术后4天出院，在随后的8个月中未观察到复发。

结论

血管脂肪瘤是良性的，很少发生于睾丸旁组织。鉴于治疗和预后的差异，应将其与脂肪肉瘤相鉴别。诊断需要手术切除及组织病理学检查。一旦切除，血管脂肪瘤很少复发，预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb86/12408163/8d92a9db7177/IJU5-8-445-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb86/12408163/6b289a57a0a0/IJU5-8-445-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb86/12408163/829d78cfef98/IJU5-8-445-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb86/12408163/8d92a9db7177/IJU5-8-445-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb86/12408163/6b289a57a0a0/IJU5-8-445-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb86/12408163/829d78cfef98/IJU5-8-445-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb86/12408163/8d92a9db7177/IJU5-8-445-g003.jpg

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