文章摘要

睾丸精母细胞肿瘤2例的临床病理分析及文献复习

作者: 1杨珊珊, 2王雪迪, 1赵敏, 2王婷, 2付尧
1 南京中医药大学附属中西医结合医院病理科,江苏省中医药研究院,南京 210028
2 南京大学医学院附属鼓楼医院病理科,南京 210008
通讯: 付尧 Email: yao_fu@aliyun.com
DOI: 10.3978/j.issn.2095-6959.2020.06.046

摘要

回顾性分析2例精母细胞肿瘤(spermatocytic tumour,ST)病理学特征及免疫组织化学检查结果,并进行随访。2例患者均为男性,年龄分别为39岁和61岁,均为无意发现睾丸肿块,行手术睾丸切除。组织学可见特征性3种细胞形态混合性生长,均未见肉瘤样变,术后随访情况良好。ST预后较好,具有独特临床病理特征,确诊主要依赖病理学形态和免疫表型相结合,出现肉瘤样变预后较差,应避免同精原细胞瘤混淆。
关键词: 精母细胞肿瘤;临床病理学;睾丸

Clinicopathological analysis and literature review of 2 cases of spermatocytic seminoma

Authors: 1YANG Shanshan, 2WANG Xuedi, 1ZHAO Min, 2WANG Ting, 2FU Yao
1 Department of Pathology, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Jiangsu Provincial Academy of Traditional Chinese Medicine, Nanjing 210028, China
2 Department of Pathology, Affiliated Drum Tower Hospital, Nanjing University Medical School, Nanjing 210008, China

CorrespondingAuthor: FU Yao Email: yao_fu@aliyun.com

DOI: 10.3978/j.issn.2095-6959.2020.06.046

Abstract

The pathological features and immunohistochemical examination of 2 cases of spermatocyte tumors were retrospectively analyzed and followed up. Two male patients were 39 and 61 years old, respectively. All of them had unintentionally found testicular mass and underwent surgical orchiectomy. Histologically, “tripartite” morphology was observed, and no sarcomatoid changes were discovered. Postoperative follow-up was good. Spermatocytic tumours have good prognosis and unique clinicopathological features. The diagnosis depends mainly on the combination of pathological morphology and immunohistochemistry. The prognosis of sarcomatoid transformation is poor, the confusion of seminoma should be avoided.
Keywords: spermatocytic tumour; clinicopathology; testis

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