睾丸间质细胞瘤超声造影表现及诊断分析  

Clinical analysis of Leydig cell tumors by contrast-enhanced ultrasound performance

作　　者：朱冬梅[1,2,3] 罗燕[1] 李艳 马果丰[2,3] 

机构地区：[1]四川大学华西医院超声科,四川成都610041 [2]南充市中心医院超声科 [3]川北医学院第二临床医学院,四川南充637000

出　　处：《西部医学》2014年第10期1364-1365,1368,共3页Medical Journal of West China

摘　　要：目的探讨睾丸间质细胞瘤超声造影的表现特征与诊断价值。方法对1例经临床病理确诊的睾丸间质细胞瘤患者的超声造影表现及临床资料进行分析,以评价和提高超声造影对睾丸间质细胞瘤的诊断价值。结果根据患者的临床表现及相关检查,手术指征明确,术中冰冻切片考虑性索来源肿瘤,性质难定,行右侧睾丸根治性切除术。术后石蜡切片及免疫组化诊断睾丸间质细胞瘤。术后半年随访未见肿瘤复发或转移。结论睾丸间质细胞瘤是一种较为罕见的睾丸肿瘤,有恶变倾向。超声造影诊断睾丸间质细胞瘤的相关报道极少,无特殊临床表现及相关实验室检查指标均正常的睾丸间质细胞瘤与睾丸的其他恶性肿瘤容易混淆,术前诊断较为困难,确诊仍需依赖病理组织学检查。Objective To investigate the diagnostic value and clinical diagnosis experience of contrast-enhanced ultrasound （CEUS） of Leydig cell tumors.Methods CEUS performance,clinical data and ultrasound diagnostic analysis of one case of Leydig cell tumor were analyzed.Results According to the clinical manifestations and the related inspections,the indications for surgery were clear.During the operation,a section was frozen to consider the source of the sex cord tumor,the nature of which was indefinable.The right testis was radically resected.Leydig cell tumor was diagnosed by postoperative analayis of the parrafin sections and immunohistochemistry.No recurrence or metastasis was seen after six months of follow-up.Conclusion Leydig cell tumor is a relatively rare testicular tumor and has a tendency to become malignant.The reports of CEUS diagnosis of Leydig cell tumors are rare.There are no specific clinical manifestations and the relevant laboratory parameters are normal,resulting in Leydig cell tumors being confused with other malignant testicular tumors.Its preoperative diagnosis is difficult and the definitive diagnosis still relies on histopathological examination.

关 键 词：超声造影 睾丸间质细胞瘤 表现特征 

分 类 号：R737.21[医药卫生—肿瘤]