背景:血清型囊腺瘤是一种非常罕见的,睾丸的良性病变很难与睾丸的其他恶性肿瘤区分开。
方法:我们介绍了一个42岁男性的病例,该病例表现为右侧睾丸肿块,无症状1年。临床检查显示,无痛,右睾丸上极结节。睾丸超声证实结节,而血清肿瘤标志物正常。患者接受腹股沟部分睾丸切除术。术中切除活检和冰冻切片病理,报告肿瘤起源未确定,手术切缘阴性。缺血时间为12分钟。最终病理报告示睾丸网状溶管状囊腺瘤,AE1、CK7免疫形态学阳性,手术切缘阴性。
结论:据我们所知,这是首次报道的睾丸保留手术治疗Sertoliform囊腺瘤,一种非常罕见的睾丸网状良性肿瘤.所有先前报告的病例均通过根治性腹股沟睾丸切除术进行处理。
BACKGROUND: Sertoliform cystadenoma is a very rare, benign lesion of the rete-testis difficult to distinguish from other malignancies of the testicle.
METHODS: We present the case of a 42-year-old male who presented with a right testicular mass, asymptomatic for 1 year. Clinical examination revealed a palpable, painless, and well-delimited right testicular superior pole nodule. Testicular ultrasound confirmed the nodule, whereas serum tumoral markers were normal. The patient underwent inguinal partial orchiectomy. Intraoperative excisional biopsy and frozen section pathology were performed, reporting undetermined tumoral origin with negative surgical margins. Ischemia time was 12 minutes. The final pathology report showed a Sertoliform cystadenoma of rete testis, with immunomorphology positive for AE1, CK7, and negative surgical margins.
CONCLUSIONS: To our knowledge, this is the first report of testicular sparing surgery for Sertoliform cystadenoma, a very rare benign tumor of rete testis. All previously reported cases were managed by radical inguinal orchidectomy.