Fujii Y, Masuda M, Hirokawa M, Matsushita K, Asakura S
Department of Urology, Fujisawa City Hospital.
Hinyokika Kiyo. 1993 Jan;39(1):89-92.
A case of benign mesothelioma of the tunica vaginalis testis is described. A 56-year-old man with no history of asbestos exposure presented with a swelling of the left scrotal content. A physical examination revealed a hydrocele and an induration on the left epididymal head. A cytological examination of the hydrocele fluid demonstrated clusters of mesothelial cells without evidence of malignancy (class III). Left inguinal orchiectomy was performed because a 15 mm papillary pedunculated tumor was seen on the surface of the tunica vaginalis. A microscopic examination showed the papillary and glandular structures composed of cuboidal cells with no cytologic atypia, which were consistent with benign mesothelioma. The patient remains well and free of recurrent disease 10 years after operation.
本文描述了一例睾丸鞘膜良性间皮瘤病例。一名56岁男性，无石棉接触史，出现左侧阴囊内容物肿胀。体格检查发现左侧鞘膜积液及附睾头部硬结。鞘膜积液细胞学检查显示间皮细胞簇，无恶性证据（III级）。由于在鞘膜表面发现一个15毫米带蒂乳头状肿瘤，遂行左侧腹股沟睾丸切除术。显微镜检查显示由立方体细胞组成的乳头状和腺管状结构，无细胞学异型性，符合良性间皮瘤。患者术后10年情况良好，无疾病复发。
