Ahmed M, Chari R, Mufi G R, Azzopardi A
St. Bartholomew's Hospital, Rochester, Kent, England.
Int Urol Nephrol. 1996;28(6):793-6. doi: 10.1007/BF02550729.
A case of malignant mesothelioma of the tunica vaginalis testis diagnosed by preoperative cytology of hydrocele fluid is reported. In our view this is only the second case diagnosed by preoperative cytology. The unique feature of this case, the characteristic ultrasound appearance, was recognized and confirmation by aspiration cytology led directly to radical orchiectomy, thus avoiding hydrocelectomy, hemiscrotectomy and possible local recurrence. Aetiopathogenesis and management options of this rare tumour are discussed, with a review of the literature.
报告了一例通过鞘膜积液术前细胞学检查诊断为睾丸鞘膜恶性间皮瘤的病例。我们认为这是第二例通过术前细胞学检查确诊的病例。该病例的独特特征，即特征性的超声表现，得到了识别，通过抽吸细胞学检查确诊后直接进行了根治性睾丸切除术，从而避免了鞘膜积液切除术、阴囊半切除术以及可能的局部复发。本文结合文献复习讨论了这种罕见肿瘤的病因发病机制及治疗选择。
