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横纹肌肉瘤是一种罕见的软组织恶性肿瘤,占所有恶性肿瘤的4%.在泌尿男性生殖系统中,阴囊内横纹肌肉瘤占第三位.我们曾收治睾丸横纹肌肉瘤2例,报告如下:例1,29岁,1989年6月23日收住院.入院前3个月自觉右侧阴囊无痛性肿大.体检发现右侧阴囊内肿块,位于右侧睾丸下极,质韧,3cm×5cm×7cm大小,与周围组织无粘连.B超检查发现占位性病变,报告右侧睾丸下极回声强弱不一的实体性肿物,左侧睾丸正常,其它检查未见异常.手术切除右侧睾丸、肿瘤组织病理检查提示:睾丸畸胎瘤拌有大量横纹肌肉瘤成分,横纹肌肉瘤细胞可见明显的肌横纹的存在.目前患者仍生存.
Rhabdomyosarcoma is a rare soft tissue malignancy that accounts for 4% of all malignancies. In the urinary male reproductive system, scrotal rhabdomyosarcoma accounts for the third place. We have treated 2 cases of testicular rhabdomyosarcoma, the report is as follows: Example 1, 29 years old, admitted to hospital on June 23, 1989. 3 months before admission admitted to the right scrotum painless swelling. Physical examination found right scrotal mass, located in the lower right testis, quality tough, 3cm × 5cm × 7cm Size, no adhesion to the surrounding tissue. B-ultrasonography found a space-occupying lesion, reported a solid mass with different echoes in the lower right testis, normal left testis, no other abnormality. Surgical removal of the right testis , Tumor histopathology suggested that: testicular teratoma mixed with a large number of rhabdomyosarcoma components, rhabdomyosarcoma cells can be seen in the presence of obvious muscle stripes. The current patient is still alive.