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Giant Spermatocele with Multilocular Appearance: A Case Report and Literature Review

大型罕見之多囊型精液囊腫:案例報告及文獻回顧

摘要


「精液囊腫」是因男性生殖道內精液積聚所形成之液狀囊腫,雖然管道狹窄而造成囊性腫大被認為是其可能原因之一,但造成其狹窄之病理成因仍不甚清楚;大部份精液囊腫皆為小型且呈單房型態,無表現症狀居多,故多為體檢時意外發現,初期以觀察及保守治療即可,但若有症狀或體積太大時,則可考慮手術治療,手術治療以開刀切除及局部注射硬化劑兩類為主。在此提出之個案報告為一位六十四歲男性,其陰囊十年多來持續異常腫大且疼痛不已,根據位置及內容物之精液分析內含精子而診斷為「精液囊腫」,病患被此巨大之囊腫困擾許久,最後接受囊腫切除手術,術後追蹤恢復良好且無併發症或復發情形。

並列摘要


We report on a 64-year-old man who had suffered from a left scrotal mass for 14 years. The scrotal mass had grown faster in recent years and eventually occupied the entire left scrotum, thus inducing pain in a standing position. Surgical exploration was performed and disclosed an unusually large multilocular spermatocele, which mimicked a hydrocele on physical examination. The size of the spermatocele was about 7×8×8cm, and it contained sperm. Total excision of the spermatocele was performed, and the patient recovered well. No cystic lesion has recurred during 5 months of follow-up.

並列關鍵字

spermatocele spermatocelectomy

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