Pello Fonseca J M, Suárez González J A, Mosquera Martínez M T, Rivas del Fresno M, Cuervo Calvo F J, Muruamendiaraz Fernández V
Servicio de Urología, Hospital de Cabueñes, Asturias.
Actas Urol Esp. 1997 Nov-Dec;21(10):998-1002.
The occurrence of a vascular tumour at the intraparenchymatous testicular level is a fact little reported in the literature. Searching for such events, 19 cases were found all of which showed benign clinical behaviour. The most commonly seen histological pattern is cavernous haemangioma (11 patients). Mean age at presentation is 19 years old and the most usual pre-operative diagnosis, germinal cell neoplasia. Since there are no specific ultrasound patterns that may allow to differentiate benign from malignant masses, inguinal orchiectomy is the choice treatment in this type of lesions. Furthermore, the case of a 44-year old patient with hypoechogenic solid mass in left testis who consulted for sporadic episodes of long-standing scrotal pain is presented. After radical exeresis of the gonad, the histological analysis showed existence of testicular cavernous haemangioma.
睾丸实质内出现血管肿瘤这一情况在文献中鲜有报道。在查找此类病例时，共发现19例，所有病例均表现出良性临床行为。最常见的组织学类型是海绵状血管瘤（11例患者）。就诊时的平均年龄为19岁，最常见的术前诊断是生殖细胞肿瘤。由于没有可用于区分良性和恶性肿块的特异性超声特征，腹股沟睾丸切除术是这类病变的首选治疗方法。此外，还介绍了一例44岁患者的病例，该患者左侧睾丸有低回声实性肿块，因长期间歇性阴囊疼痛前来就诊。在对性腺进行根治性切除术后，组织学分析显示存在睾丸海绵状血管瘤。
