Konety B R, Singh J, Lyne J C, Salup R R
Division of Urology, University of Pittsburgh School of Medicine, PA 15213, USA.
Urol Int. 1996;56(4):259-62. doi: 10.1159/000282856.
We describe a case of leiomyosarcoma with osteoclast-like giant cells arising form the spermatic cord and involving the testis. This is a rare tumor which is histologically similar to the giant cell variant of malignant fibrous histiocytoma. No such cases have been reported arising from the external genitalia. The patient was initially treated with local excision. He had a local recurrence 7 years later which was treated with radical excision and adjuvant radiation. The indolent nature of the tumor, with a long survival of 7 years after initial diagnosis followed subsequently by a more aggressive clinical course, is emphasized.
我们描述了一例起源于精索并累及睾丸的伴有破骨细胞样巨细胞的平滑肌肉瘤。这是一种罕见肿瘤，组织学上类似于恶性纤维组织细胞瘤的巨细胞变体。目前尚无源于外生殖器的此类病例报道。该患者最初接受了局部切除治疗。7年后出现局部复发，随后接受了根治性切除及辅助放疗。强调了该肿瘤惰性的本质，即初始诊断后有7年的长期生存，随后临床病程更为侵袭性。
