PDF(Pubmed)
Abstract：
Paratesticular tumours are rare malignancies that are frequently misdiagnosed on presentation. We present a case of an elderly male with a six-month history of painless, progressively increasing left inguinal swelling. On preliminary examination and investigation, the swelling was misdiagnosed as a lymph nodal mass. Subsequently, a magnetic resonance imaging study detected a lesion that was not distinct from the spermatic cord. Biopsy testing of the said lesion was suggestive of poorly differentiated spindle cell neoplasm. The patient then underwent a high inguinal orchidectomy. Histopathological examination confirmed the diagnosis of a high-grade paratesticular dedifferentiated liposarcoma with rhabdomyoblastic differentiation. Due to the rarity of such tumours, the need for adjuvant chemotherapy and radiotherapy is debated.
摘要：
睾丸旁肿瘤是罕见的恶性肿瘤，常被误诊。我们介绍了一个有六个月无痛史的老年男性病例，逐渐增加的左腹股沟肿胀。在初步审查和调查中，肿胀被误诊为淋巴结肿物。随后，一项磁共振成像研究发现了一个与精索没有明显区别的病变。所述病变的活检测试提示低分化的梭形细胞肿瘤。然后，患者接受了腹股沟高位睾丸切除术。组织病理学检查证实了具有横纹肌母细胞分化的高级别睾丸旁分化脂肪肉瘤的诊断。由于这种肿瘤的罕见，对辅助化疗和放疗的需求存在争议。
