Gago Juan A, Luján Galán M, Bustamante Alarma S, Fernández Lobato R, Zárate Rodríguez E, Martín Osés E, Berenguer Sánchez A
Servicio de Urología, Hospital Universitario de Getafe, Madrid, España.
Arch Esp Urol. 1997 Oct;50(8):921-3.
To describe a case of paratesticular liposarcoma in a 69-year-old male. The literature is briefly reviewed and the prognostic and therapeutic aspects are discussed.
METHODS/RESULTS: The patient was submitted to surgery. Pathological analysis of the surgical specimen disclosed a myxoid liposarcoma with undifferentiated pleomorphic areas. Patient follow up has shown no recurrence or metastasis.
This tumor type develops in scrotal soft tissue, slowly increasing scrotal size, and should be distinguished from inguinoscrotal hernia. Together with physical examination, ultrasonography is generally useful. Treatment is by radical orchiectomy through an inguinal approach; the role of adjuvant therapy remains unclear. It has a good prognosis, with frequent local relapses; metastatic spread is uncommon.
描述一例69岁男性睾丸旁脂肪肉瘤病例。简要回顾相关文献并讨论预后及治疗方面的问题。
方法/结果：患者接受了手术。手术标本的病理分析显示为伴有未分化多形性区域的黏液样脂肪肉瘤。对患者的随访未发现复发或转移。
这种肿瘤类型发生于阴囊软组织，会使阴囊大小缓慢增加，应与腹股沟阴囊疝相鉴别。体格检查联合超声检查通常很有用。治疗方法是通过腹股沟入路进行根治性睾丸切除术；辅助治疗的作用仍不明确。其预后良好，但局部复发频繁；远处转移不常见。
