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Primary mucinous cystadenoma of the spermatic cord within the inguinal canal 英文参考文献
Kimetal.DiagnosticPathology2012,7:139
/content/7/1/139
CASE REPORT
OpenAccess
Primarymucinouscystadenomaofthespermatic
cordwithintheinguinalcanal
Jee-YeonKim1,Young-TaekLee2,Hyun-JeongKang3andChang-HunLee1*
Abstract
Wereportahithertonotdocumentedcaseofprimarymucinouscystadenomaarisinginthespermaticcordwithin
therightinguinalcanalofa78-year-oldman.Thetumorwaspainless,hardandmobile.Acomputedtomography
scanonthepelvisrevealedanovalshaped,lowattenuationmass,measuring5.0x2.5x2.1cm,thatwaspresent
adjacenttothevasdeferens.Grossly,theexcisedmasswasmulticysticmucinoustumor,filledwiththickmucoid
materials.Microscopically,thecysticwallwasirregularlythickened.Thecysticepitheliumcommonlyshowedshort
papillaelinedbyasinglelayerofcolumnartocuboidalmucinousepithelialcellswithoutsignificantstratificationor
cytologicatypia.Gobletcellswerealsofrequentlypresent.Immunohistochemically,theneoplasticcellsshowed
positivereactiontocarcinoembryonicantigen,cytokeratin20,CDX2,epithelialmembraneantigen,andCD15.
However,theywerenegativeforPAX8andWilms’tumor1protein.Pathologicaldiagnosiswasapapillarymucinous
cystadenomaofthespermaticcord.Althoughmucinouscystadenomainthisareaisextremelyrare,itisimportant
thattheselesionsberecognizedclinicallyandpathologicallyinordertoavoidunnecessaryradicalsurgery.
Virtualslides:Thevirtualslide(s)forthisarticlecanbefoundhere:http://www.diagnosticpathology.diagnomx.eu/
vs/1720965948762004
Keywords:Mucinouscystadenoma,Vasdeferens,Spermaticcord
Background
there were no other specific symptoms. During physical
Primary tumors of the spermatic cord can be of many examination,spermaticcordscouldbepalpatedonboth
types, but cystadenoma is especially exceptional. To the sides. The testis and epididymis appeared normal. Rou-
bestofourknowledge,thisisthethirdreportofprimary tine blood analysis was all within normal limits. Ultra-
cystadenomainthespermaticcordsincetheoriginalre- sound imaging on the right inguinal area showed a
portby McCluggage et al. in 1996 [1
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