陰嚢内リンパ管腫・血管腫混合型の1例

概要

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左陰嚢無痛性腫脹を主訴とした3歳男児で,触診上,腫瘤は精巣,精巣上体,及び精索から識別され,透光性があった.腫瘤の一部は暗紫赤色であった.腫瘤全摘を行った.病変は多嚢胞性(2～15mm)で,陰嚢皮膚に癒着していたが,精巣から容易に剥離し得た.病理学的には大部分はリンパ管腫,一部は血管腫であった.2年間再発をみていないA 3-year-old boy was referred because of a painless mass in the left scrotum. On palpation, the mass was discriminated from the testis, epididymis and spermatic cord and showed transillumination. A part of the mass was dark purple in color. Total surgical excision of the mass was performed. The lesion was multicystic (2-15 mm), adherent to the scrotal skin, and easily dissectable from the testicle. Pathological examination revealed lymphangioma as a major component and hemangioma as a minor part. He has been free of recurrent disease for 2 years. This is the 7th case of hemo-lymphangioma of the scrotum in the Japanese literature.