精索脂肪肉瘤的诊断和治疗(附1例报告并文献复习)

Liposarcoma of the Spermatic Cord: One Case Report with Review of Literature

目的总结对精索脂肪肉瘤的诊断及治疗。方法对1例右侧阴囊肿块患者体检,检测α- 甲胎蛋白、β-HCG和卵泡刺激素;行B超和CT检查。行根治性右侧精索及肿块高位切除加右侧睾丸、附睾切除。并结合文献复习。结果阴囊右侧大小约5 cm×6 cm×5 cm肿块,质硬,表面欠光滑,有结节感,与右侧附睾、睾丸精索位置固定,透光试验阴性。α-甲胎蛋白、β-HGG和卵泡刺激素均正常。B超提示右侧精索实质性肿物,非均质性强回声,与附睾、睾丸边界清淅;CT示右侧精索实质性肿瘤,未见明显肿大淋巴结。病理诊断为右侧精索硬化型脂肪肉瘤。结论精索脂肪肉瘤罕见,其诊治及预后的标准难以确定;手术切除为主的综合治疗为首选治疗方法。

Objective To summarize the experience of pathology, diagnosis and treatment ofliposarcoma of the spermatic cord. Methods The clinical data of 1 patient with liposarcoma of the spermatic cord was reviewed retrospectively in combination with related literature. Results A 52-year-old male presented a 2-year history of a mass in the right hemiscrotum.The painless mass had grown and did not transmit light.Radical orchiectomy was performed.Pathological analysis demonstrated a sclerosing liposarcoma with tumour detection in the surgical margin. Conclusion Liposarcoma of the spermatic cord is rare. It is therefore difficult to establish the guidelines for treatment,diagnosis and prognosis.Radical orchiectomy with ligation of the spermatic cord at the internal inguinal ring is the recommended therapy, while adjuvant radiotherapy and chemotherapy may be considered.