[经过丸瘤的横向丸直径,在症状丸扭曲后被发现]
Richi Okusue1, Koki Maeda1,2, Yuri Mori1
1The Department of Urology, Nagahama Red Cross Hospital.
Nihon Hinyokika Gakkai zasshi. The japanese journal of urology
|October 22, 2023
概括
横向丸外,这是一种罕见的情况,其中两个丸下降到一个阴囊,可以在成年时呈现丸扭曲和癌症. 早期诊断和管理对于有利的结果至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
- 手术瘤学手术瘤学
背景情况:
- 横向丸外 (TTE) 是一种罕见的先天性异常,其中两个丸都下降到相同的阴囊区.
- TTE通常是在童年时被诊断出来的,但在成年时也可能被偶然发现,经常与非触摸得到的丸有关.
- 成年人对TTE的诊断可能是由丸扭曲或检测丸瘤等并发症引起的.
研究的目的:
- 报告一个罕见的成年开始的横向丸外病例,呈现丸扭曲和偶发的半瘤.
- 强调成年人中TTE的诊断挑战和管理考虑.
- 突出TTE,丸扭曲和潜在的恶性瘤之间的关联.
主要方法:
- 一个40岁的男性的病例介绍,他患有右腹部疼痛和可触摸的质量.
- 诊断成像包括计算机断层扫描 (CT) 和超声波 (US) 来评估丸位置和血管性.
- 紧急的外科探索,花切除术和切除的丸的组织病理学检查.
主要成果:
- CT证实了TTE,两个精子绳进入右管.
- 美国发现缺少左丸循环,表明扭转.
- 手术发现包括一个180度扭曲的死角左丸和一个正常的右丸. 组织病理学证实在切除的左丸中出现了一种偶然的pT1精子瘤.
- 手术后的瘤标志物是负的,在2年和5个月的随访后没有复发.
结论:
- 成年人呈现的非触摸的丸扭曲应该引起对TTE的怀疑.
- 在成年人中,TTE需要对相关的丸瘤进行彻底评估,特别是半瘤.
- 在TTE病例中,及时诊断和管理对于扭曲和潜在恶性瘤至关重要.
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