Ogawa O, Yoshimura N, Nishimura K, Nakagawa T, Nagata Y
Hinyokika Kiyo. 1985 Nov;31(11):2060-4.
Non-germinal cell tumor of the testis is a rare disease, and vascular tumor of the testis is a still rarer disease. Herein, a case of cavernous hemangioma of the testis is reported. A 75-year-old man consulted our department with the complaint of a painless left intrascrotal tumor. Laboratory findings revealed slight leukocytopenia and thrombocytopenia of unknown origin. In chest X-ray, a diffuse reticular shadow was shown and it was considered due to pulmonary fibrosis, but, alpha-fetoprotein and CEA were normal. Left radical orchiectomy was performed under spinal anesthesia. The tumor existed under the tunica albuginea, and the cutting surface of the tumor was brown and irregular. There were hemorrhagic portions in some places. The left epididymis and the left spermatic cord were normal. Histologically, the tumor was diagnosed as cavernous hemangioma. The vascular tumor of the testis is a very rare disease, and only 17 cases have been reported including this case. This case was the 7th case of cavernous hemangioma of the testis, and the first case in Japan. This patient died of respiratory failure due to pulmonary fibrosis and pneumonia. In the autopsy, there was no abnormal finding that was considered to be related to the cavernous hemangioma of the testis.
睾丸非生殖细胞瘤是一种罕见疾病，而睾丸血管肿瘤则更为罕见。在此，报告一例睾丸海绵状血管瘤病例。一名75岁男性因左侧阴囊无痛性肿物前来我科就诊。实验室检查发现不明原因的轻度白细胞减少和血小板减少。胸部X线显示弥漫性网状阴影，考虑为肺纤维化所致，但甲胎蛋白和癌胚抗原正常。在脊髓麻醉下进行了左侧根治性睾丸切除术。肿瘤位于白膜下方，肿瘤切面呈褐色且不规则。部分区域有出血。左侧附睾和左侧精索正常。组织学检查诊断该肿瘤为海绵状血管瘤。睾丸血管肿瘤是一种非常罕见的疾病，包括本病例在内仅报告了17例。本病例是第7例睾丸海绵状血管瘤，也是日本首例。该患者因肺纤维化和肺炎导致呼吸衰竭死亡。尸检时，未发现被认为与睾丸海绵状血管瘤相关的异常发现。
