Díaz Calleja E, Calatrava Gadea S, Baeza Guixot R, Moreno Pérez F, Lapuerta Torres E, García Víctor F, Sánchez Cañizares P, Ramos Níguez J A
Servicio de Urología, Hospital Francisco de Borja, Valencia, España.
Arch Esp Urol. 1997 Mar;50(2):193-5.
To describe an additional case of Sertoli cell testicular tumor. Although more cases have been reported in the world literature, only one case with bilateral involvement has been described in the Spanish literature over the last 18 years.
A 34-year-old male consulted for a testicular mass which he had detected a few weeks earlier. US and CT evaluation disclosed a tumor in the right testis and no evidence of metastasis. The patient underwent right radical orchidectomy via the inguinal approach and insertion of a testicular prosthesis.
Histopathological analysis of the surgical specimen disclosed a Sertoli cell testicular tumor. Patient control follow-up at 3 and 9 months postoperatively showed no changes in tumor markers or CT findings.
The benign or malignant nature of Sertoli cell testicular tumor is currently defined by the presence or absence of metastasis, although there are histopathological criteria that might indicate a certain degree of aggressiveness.
描述1例支持细胞瘤。尽管世界文献中已报道了更多病例,但在过去18年的西班牙文献中,仅描述了1例双侧受累的病例。
一名34岁男性因几周前发现的睾丸肿块前来就诊。超声和CT检查显示右侧睾丸有肿瘤,无转移迹象。患者通过腹股沟入路接受了右侧根治性睾丸切除术,并植入了睾丸假体。
手术标本的组织病理学分析显示为支持细胞瘤。术后3个月和9个月的患者对照随访显示肿瘤标志物或CT检查结果无变化。
支持细胞瘤的良恶性目前由有无转移来定义,尽管有组织病理学标准可能表明其具有一定程度的侵袭性。