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一例以睾丸转移灶为首发表现的胃癌(作者译)

[A case of carcinoma of the stomach revealed by a testicular metastasis (author's transl)].

作者信息

Reinhardt W, Saranga R, Weill-Bousson M, Bollack C

出版信息

J Chir (Paris). 1978 Dec;115(12):681-3.

PMID:744774
Abstract

A testicular metastasis from a gastric carcinoma is exceptional among the rare secondary localisations of a visceral neoplasm in the testis. It should however be remembered for the testicular tumour sometimes precedes the clinical manifestations of the primary neoplasm. The diagnosis of the testicular metastasis from a gastrict carcinoma can only be made by histological examination and required the use of slides stained with mucicarmine. The method of spread to the testis seems mainly due to inversion of the lymph flow by neoplastic obstruction of the latero-aortic lymph nodes. In the cases reported in the literature, the presence of a testicular metastasis from a carcinoma of the stomach is a factor suggesting a poor prognosis.

摘要

胃癌发生睾丸转移是内脏肿瘤在睾丸罕见的继发性定位中极为罕见的情况。然而,应记住,有时睾丸肿瘤先于原发性肿瘤的临床表现出现。胃癌睾丸转移的诊断只能通过组织学检查做出,需要使用黏液卡红染色的切片。肿瘤扩散至睾丸的方式似乎主要是由于侧主动脉旁淋巴结的肿瘤阻塞导致淋巴液逆流。在文献报道的病例中,胃癌发生睾丸转移是预后不良的一个因素。

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