原发性精索未分化肉瘤1例报告  

A case report of primary undifferentiated spermatic cord sarcoma

作　　者：罗标 姜福全[1] Luo Biao;Jiang Fuquan(Department of Urology,China-Japan Union Hospital of Jilin University,Changchun 13000,China;Department of Urology,Chengdu Fifth people's Hospital,Chengdu 610000,China)

机构地区：[1]吉林大学中日联谊医院泌尿外科,长春130000 [2]成都市第五人民医院泌尿外科,成都610000

出　　处：《中华泌尿外科杂志》2023年第9期708-709,共2页Chinese Journal of Urology

摘　　要：精索肉瘤临床少见,确诊需依靠组织病理学检查。本文报道1例,因左腹股沟区及阴囊进行性肿胀5个月人院。B超及CT检查示,左侧精索区可见约4.0 cm×5.5 cm×4.5 cm实性肿物,与左侧睾丸界限清楚。行超声引导穿刺活检,病理提示间叶组织来源肿瘤,恶性可能性大。从左腹股沟入路行根治性左侧睾丸切除术+左侧精索高位结扎术。术后病理诊断为未分化精索肉瘤。术后随访26个月未发现肿瘤复发和转移。Sarcoma in the spermatic cord is rare,and accurate diagnosis of the histopathological subtypes are often difficult.A 62-year-old male smoker with a five-month history of left inguinoscrotal swelling was admitted to my hospital.Ultrasonography and computed tomography examinations showed a 4.0 cm×5.5 cm×4.5 cm solid mass engulfing the spermatic cord.The boundaries between the mass and the left testicle was distinct.Ultrasound-guided fine needle aspiration biopsy showed tumor originated from mesenchymal tissue,which is likely to be malignant,hence,enabling its removal by a left spermatic cord tumor resection via a left inguinal approach,under general anesthesia.The final pathological report showed an undifferentiated spermatic cord sarcoma.No recurrence and metastasis were observed in the patient during the subsequent 26 months follow-up period.

关 键 词：精索肉瘤 未分化 诊断 治疗 

分 类 号：R737.2[医药卫生—肿瘤]