Oda H, Sakaguchi K, Kanemura M, Yokoyama M
Department of Urology, Toranomon Hospital.
Nihon Hinyokika Gakkai Zasshi. 1994 Aug;85(8):1273-5. doi: 10.5980/jpnjurol1989.85.1273.
We report a case of torsion of an intrascrotal testicular tumor. The patient was a 54-year-old man with a chief complaint of swelling and pain in the left scrotum. A testicular scan using 99mtechnetium RBC demonstrated a large cold area of isotope uptake showing loss of blood flow in his left scrotal content. Pre operative diagnosis was acute testicular torsion. A torsed testicle was delivered through an inguinal incision. The testicle appeared to be twisted 720 degrees clock wise. It was swollen and bluish in color. The blood flow did not recover after the relief of twisting. Radical orchiectomy was performed. The histology demonstrated a seminoma. He was free of disease 4 years after surgery. A torsion of testicular tumor in an undescended testis has been reported sporadically. However, the torsion of the intrascrotal testicular tumor is very rare. There have been 5 reported cases in the world literature and this case seems to be the first one in Japan.
我们报告一例阴囊内睾丸肿瘤扭转病例。患者为一名54岁男性，主要主诉为左侧阴囊肿胀和疼痛。使用99m锝红细胞进行的睾丸扫描显示，同位素摄取有一大片冷区，表明其左侧阴囊内容物血流丧失。术前诊断为急性睾丸扭转。通过腹股沟切口取出扭转的睾丸。睾丸似乎顺时针扭转了720度。它肿胀且呈蓝色。扭转解除后血流未恢复。遂行根治性睾丸切除术。组织学检查显示为精原细胞瘤。术后4年他无疾病复发。隐睾内睾丸肿瘤扭转曾有散在报道。然而，阴囊内睾丸肿瘤扭转非常罕见。世界文献中已有5例报道，本病例似乎是日本首例。
