阴囊巨大良性间叶瘤1例报告及文献复习

Huge Benign Scrotum Mesenchymoma :A Case Report with Review of the Literature

目的 阐明阴囊巨大良性间叶瘤的病理形态特征及鉴别诊断要点。方法 报导 1例阴囊巨大良性间叶瘤病例 ,结合文献对该病的临床表现、病理形态及免疫组化特点、病因及鉴别诊断进行探讨。结果 1例 6 0岁男性患者 ,肿瘤大体呈结节分叶状 ,边界清楚有包膜 ,体积巨大 ,灰白淡黄色并具有软骨样光泽 ,质地较硬 ;镜下见肿瘤由分化成熟的纤维组织、脂肪组织、脉管组织、较多的透明软骨及胶原纤维组成 ,各种组织紊乱交错排列 ,并见梭形细胞脂肪瘤样结节形成。结论 阴囊巨大良性间叶瘤是一种罕见的良性软组织肿瘤 ,手术治疗预后良好 ,3a随访未见复发。

Objective To discuss the histopathological features and diffe rential diagnosis of huge benign mesenchymoma of scrotum(HBMS).Methods Clinical datum and pathogenesis and differential diagnosis of the lesion was discussed.Results The male patient was 65 years old .Grossly seen, the tumor was gray and light yellow in color with cartilage like politure.It presented solid nodule and lobed,had a capsule and clear envelope. It was very hard and very big.Histologically,the tumor was composed of fiber tissue, adipose tissue, small vessel, hyaline cartilage and collagenous fibers. The various tissues arrayed irregularly, and spindle cell lipoma like nods also existed.Conclusions The HBMS is a rare benign soft tissue tumor,but its prognosis after operation was pretty good. After 3 years′ follow up,no complication was found.