大理大学学报 ›› 2021, Vol. 6 ›› Issue (10): 53-.DOI: 10. 3969/j. issn. 2096-2266. 2021. 10. 011

• 临床医学 • 上一篇    下一篇

睾丸鞘膜上皮样肉瘤1例报告并文献复习

李杰鹏,罗 勇,李建军,肖玉坤   

  1. (大理大学第一附属医院泌尿男科,云南大理 671000

  • 收稿日期:2020-07-06 修回日期:2020-12-04 出版日期:2021-10-15 发布日期:2021-12-11
  • 通讯作者: 肖玉坤,主任医师,E-mail:xiaoyukun6@sina.com。
  • 作者简介:李杰鹏,硕士研究生,主要从事泌尿男科疾病临床研究。

A Case Report and Literature Review of Epithelioid Sarcoma of Testicular Sheath

Li Jiepeng Luo Yong Li Jianjun Xiao Yukun   

  1. Department of Urology The First Affiliated Hospital of Dali University Dali Yunnan 671000 China

  • Received:2020-07-06 Revised:2020-12-04 Online:2021-10-15 Published:2021-12-11

摘要:

目的:分析1例罕见的睾丸鞘膜上皮样肉瘤患者的临床表现、体征、诊断及治疗方法。方法:通过报告1例睾丸鞘膜上皮样肉瘤的临床表现、体征、诊断过程以及治疗经过,分析其临床病理结果,通过文献复习的形式对此病进行总结。结果:患者入院后予“左侧睾丸切除术”,术后病理结果示:左侧阴囊鞘膜、囊壁样组织见上皮样细胞构成簇状结节状病灶,细胞温和,胞质红染,核中等大小,核仁明显,部分局域黏液样变,确诊为睾丸鞘膜上皮样肉瘤。结论:患者术后经病理免疫组化确诊,出院后随访12个月,目前生存状况良好,通过定期复查未见肺部、肝脏、腹膜后淋巴结转移。

关键词:

"> ">睾丸鞘膜上皮样肉瘤;手术治疗;病理检查

">  ,

Abstract:

Objective To report a rare case of epithelioid sarcoma of testicular sheath and summarize the clinical manifestations signs diagnosis and treatment. Methods The clinical manifestations signs diagnosis and treatment of a case of epithelioid sarcoma of testicular sheath were reported the clinicopathological results were analyzed and the disease was summarized in the form of literature review. ResultsThe patient was treated with "left orchiectomy" after admission. The postoperative pathological results showed that there were clustered nodular lesions composed of epithelioid cells in the left scrotal sheath and capsule wall like tissue. The cells were mild the cytoplasm was red stained the nucleus was medium in size the nucleolus was obvious and some local myxoid changes. It was diagnosed as epithelioid sarcoma of testicular sheath. Conclusion The patient was confirmed by pathology and immunohistochemistry after operation and followed up for 12 months after discharge. At present the survival condition is good. There is no metastasis of lung liver and retroperitoneal lymph nodes through regular reexaminations.

Key words:

"> epithelioid sarcoma of testicular sheath">; surgical treatment">; pathological examination

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