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Malignant Mesothelioma of the Tunica Vaginalis Testis: A Case Report and Literature Review
Resource
慈濟醫學雜誌 v.7 n.1 pp.51-58
Journal
慈濟醫學雜誌,v.7
Journal Issue
n.1
Pages
51-58
Date Issued
1995
Date
1995
Author(s)
SHUN, CHIA-TUNG
CHUANG, SOU-MING
Abstract
本文報告一例不常見的睪丸固有鞘膜的惡性間皮瘤病人因兩側鼠蹊部間歇性疼痛,而 到開業醫診治。在鼠蹊部疝氣的診斷下開刀,手術後發現副睪腫瘤侵犯到睪丸附近組 織。病人臨床上當異常表現而亦無石綿之接觸。病人系列檢查發現是惡性間皮瘤。病 人在手術後8備月的追蹤,並無轉移跡象。因病例罕見,所以提出共同討論。 A 54- year-old male complained of bilateral inguinal region pain. Under the impression of bilateral inguinal hernia, operation was performed. A testicular tumor was found during operation, orchiectomy of the right testis was done. An ill- defined whitish firm nodular mass measuring 3*2*2 cm in size located at epididymis with adjacent testicular parenchymal involvement and thickening of the tunica albuginea. The laboratory data including complete blood cell count, biochemistry were not remarkable and there was no hydrocele or asbestos exposure. Detail histological, immunohistochemical and ultrastuctural studies revealed a low grade malignant mesothlioma arising from tunica vaginalis testis. The patient was disease-free during the 8- month follow-up period without adjuvant therapy.