成人后睾丸囊性发育不良:病例报告和文献综述。

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL
Annals of Medicine and Surgery Pub Date : 2024-09-10 eCollection Date: 2024-10-01 DOI:10.1097/MS9.0000000000002565
Oussama G Nasrallah, Mohammad W El Mir, Mohammad W Fawaz, Jana H Mahdi, Riad A Khouzami, Bassel G Bachir
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引用次数: 0

摘要

背景:后睾丸发育不良是一种由后睾丸产生的囊性异常,通常出现在儿童群体中。这些病例通常会自然消退,无需手术干预。成年后出现睾丸发育不良的病例很少见,但也有通过手术治疗的病例:一名 58 岁的男性出现下尿路症状,发现右侧睾丸稍大,位于附睾附近的下端。睾丸超声和多普勒检查显示,在睾丸前壁附近的 16.5×12.1 毫米囊性发育不良区内有一个 8 毫米的囊肿。睾丸核磁共振成像(MRI)显示,睾丸内有一个小囊肿,邻近有带状信号,与前睾丸发育不良相符。这名患者被置于监护之下,6 个月后,睾丸前叶发育不良的情况稳定,除非超声检查发现病情恶化,否则不会进行手术:临床讨论:睾丸前叶囊性发育不良的治疗随着时间的推移而不断发展。虽然对这种疾病的治疗一直没有明确的指导方针,但传统上首选的治疗方法是对患侧睾丸进行根治性睾丸切除术。目前仅有三例成人睾丸前叶囊性发育不良的病例报告,其中没有一例是通过观察治疗的:总之,作者报告了一例独特的前睾丸发育不良病例,该病例以保守治疗为主,显示了这种病变的良性特征,可通过连续成像进行积极观察。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cystic dysplasia of the rete testis in adulthood: a case report and review of the literature.

Background: Rete testis dysplasia is a cystic anomaly arising from the rete testis presenting normally in the pediatric population. These cases usually regress spontaneously without the need for surgical intervention. There are rare, reported cases of rete testis dysplasia in adulthood, which have been managed surgically.

Case presentation: A 58-year-old man presented with lower urinary tracts symptoms and found to have a slightly larger right testicle namely in the lower pole near the epididymis. Investigation was done using ultrasound of the testicles with Doppler showing an 8 mm cyst contained in 16.5×12.1 mm cystic dysplasia near the rete testis. MRI of the testicles revealed a small intratesticular cyst with adjacent band-like signals, in keeping with rete testis dysplasia. This patient was placed under surveillance and the rete testis dysplasia is stable after 6 months and will not be operated on unless progression on ultrasound is encountered.

Clinical discussion: The management of cystic dysplasia of the rete testis has been evolving with time. While there have never been clear-cut guidelines on the treatment of this condition, a radical orchiectomy of the affected testicle had traditionally been the preferred treatment option. There have only been three case reports of cystic dysplasia of the rete testis in adults, none of which are known to have been managed by observation.

Conclusion: In conclusion, the authors report a unique case of rete testis dysplasia being managed conservatively showing the benign features of such a pathology, which may be actively surveyed through sequential imaging.

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来源期刊
Annals of Medicine and Surgery
Annals of Medicine and Surgery MEDICINE, GENERAL & INTERNAL-
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