原发性睾丸血管肉瘤1例并文献复习

A case report of primary testicular angiosarcoma and literature review

原发性睾丸恶性肿瘤是一种比较少见的高度恶性肿瘤,其发病机制不清,诊断较为困难,临床表现无明显特异性,与普通睾丸肿物相似。主要依靠术后病理检查及免疫组化确诊,最具诊断意义的是瘤体中互相吻合、大小不一、形态不规则的血管网。本文报告1例山西医科大学第二医院收治的原发性睾丸血管肉瘤病例情况。该患者因左侧睾丸无痛性增大20 d入院,通过查体、多种影像学检查、病理结果及反复讨论对患者行左侧睾丸行根治性切除术。术后通过病理学和免疫学检测诊断确诊该疾病。术后随访5年1个月未发现复发及转移。本文通过对该病例情况的报告,并回顾文献资料,加深对该疾病的认识,进而提高临床诊治能力。

Primary testicular malignancy is a relatively rare and high-grade malignant tumor,and the pathogenesis of the disease is not clear,the diagnosis is more difficult,the clinical performance is without obvious specificity,and is similar to the normal testicular mass.It is mainly dependent on postoperative pathological examination and immunohistochemistry,and the most diagnostic feature is the anastomosed,irregular,varying sizes,and the irregular pattern of the vasoganglion.This paper reports a case of primary angiosarcoma in the Second Hospital of Shanxi Medical University.The patient was admitted to hospital for 20 days with an increase in left testis,the disease was diagnosed by pathological and immunological tests after surgery.No recurrence or metastasis was found after 5 years and 1 month follow-up.Through the report of the case of the disease,and the review of the literature,this paper deepens the understanding of the disease and improves the ability of clinical diagnosis and treatment.