附睾乳头状囊腺瘤(部分区域交界性)临床病理观察  

Papillary cystadenoma of the epididymis(partly borderline):a clinicopatholgic analysis

作　　者：沈波 赵春霞 陈柿妗 吕丽丽 范钦和[2] 

机构地区：[1]南京明基医院病理科,南京210019 [2]南京医科大学第一附属医院病理科,南京210029

出　　处：《诊断病理学杂志》2016年第12期936-938,共3页Chinese Journal of Diagnostic Pathology

摘　　要：目的探讨附睾乳头状囊腺瘤(部分区域交界性)的临床病理特点。方法观察1例附睾乳头状囊腺瘤(部分区域交界性)的组织学,并复习相关文献。结果患者男性,70岁。左侧阴囊内(附睾处)无痛性肿块3个月。无von Hippel-Lindau综合征。附睾乳头状囊腺瘤(部分区域交界性)有3种基本结构:1排列呈乳头状结构,有纤维血管轴心,被覆两种类型细胞,乳头外层是胞质透明正常核的柱状上皮细胞,乳头内层是胞质嗜酸性核异常的立方上皮细胞。2扩张的导管和微囊有类似乳头的上皮细胞被覆。3纤维性间质有炎细胞浸润。术后随访5年内复发。结论附睾乳头状囊腺瘤(部分区域交界性)罕见,单纯切除可复发,确诊依赖病理学检查。Objective To describe the clinicopatholgic characteristics of papillary cystadenoma of the epididymis（partly borderline）.Methods The pathological features were analyzed in one case of papillary cystadenoma of the epididymis（partly borderline） and the related literatures were reviewed.Results A 70-year-old male presented with 3 months history of a painless nodule in the left epididymis.There was no evidence of von Hippel-Lindau syndrome.The lesions had three basic components：（1） papillary processes with a variable amount of fibrovascular stroma surfaced by two types of epithelial cells,the outer layer of which were columnar epithelial cells with clear cytoplasm and normal nucleus;the inner layer of which were cuboidal epithelial cell with acidophil cytoplasm and abnormal nucleus;（2） ectatic ducts and microcysts lined by similar epithelial cells;and（3） fibrous stroma in which inflammatory or degenerative changes may be present.Follow-up visit revealed recurrence in five years.Conclusions Papillary cystadenoma of the epididymis（partly borderline） is a rare tumor,which can recur after simple excision,and its correct diagnosis relies on pathological examination.

关 键 词：附睾 交界性 乳头状囊腺瘤 

分 类 号：R737.21[医药卫生—肿瘤]