精索脂肪肉腫の1例

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84歳男性.患者は右鼠径部の無痛性腫瘤を主訴とした.超音波検査では右鼠径部に内部均一な充実性腫瘤を認め,腹部骨盤CTでは右鼠径管内にやや低吸収域で淡い造影効果を示す辺縁平滑な充実性腫瘤が認められた.以上より,右鼠径管内腫瘍または精索腫瘍を疑い,手術を行なったところ,精索悪性腫瘍が疑われたため,右高位精巣摘除術を施行した.病理組織学的に精索脂肪肉腫で,術後1年8ヵ月経過現在,再発転移は認められていないAn 84-year-old male was referred to our hospital with the chief complaint of a painless inguinal mass. An elastic hard mass was palpable in the right inguinal region next to the spermatic cord. Ultrasonography and computed tomography showed an inguinal homogeneous mass which was slightly enhanced. Since the operation appearance indicated the tumor was arising from the right spermatic cord, right radical orchiectomy was performed. Histopathological examination revealed a well-differentiated liposarcoma of the right spermatic cord. This is the 70th case of liposarcoma of the spermatic cord reported in Japan.
泌尿器科紀要刊行会の論文