Ectopic spleen in testicular parenchyma: case report

Alessandro Vengjer, Angelo Sementilli, Fernando Oliveira-dos-Santos, Giulia Francis-Delgado-dos-Santos, Ana Carolina De-Abreu-Gomes, Guilherme Ribeiro-Nader
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Abstract

Clinical case description: This report presents the case of a 32-year-old man with palpable solid nodule in the left testicle with a diagnostic hypothesis of testicular cancer, which turned out to be splenic tissue through pathological anatomy analysis. Relevance: The splenogonadal fusion is a rare and benign congenital anomaly related to the presence of ectopic spleen tissue in the gonadal parenchyma, caused by fusion between these two tissues during the fifth or sixth week of embryonic development. This condition is of great importance because its diagnosis is difficult and often confused with other gonadal disorders such as testicular neoplasm. Clinical implications: The most common consequence of this testicular disorder is the unnecessary orchiectomy, in which a variety of cases are submitted. To avoid testicle removal, intraoperative pathological examination can be used in these cases. Conclusions: The ectopic spleen in testicular parenchyma is a rare condition and its diagnosis is difficult. It is important to consider this condition as a differential diagnosis in testicular disorders, especially in the case of diagnostic hypothesis of testicular cancer, so that testicle removal can be prevented by the use of intraoperative pathological exam.
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睾丸实质脾异位1例
临床病例描述:本文报告一例32岁男性患者,左侧睾丸可触及实性结节,诊断假设为睾丸癌,经病理解剖分析证实为脾组织。相关性:脾性腺融合是一种罕见的良性先天性异常,与性腺实质中脾脏组织异位有关,是在胚胎发育的第五或第六周由这两个组织融合引起的。这种情况是非常重要的,因为它的诊断是困难的,经常与其他性腺疾病,如睾丸肿瘤混淆。临床意义:这种睾丸疾病最常见的后果是不必要的睾丸切除术,其中有各种病例提交。为避免切除睾丸,这些病例可采用术中病理检查。结论:睾丸实质内异位脾是一种罕见且诊断困难的疾病。在睾丸疾病中,特别是在诊断假设为睾丸癌的情况下,将这种情况作为鉴别诊断是很重要的,这样可以通过术中病理检查来防止睾丸切除。
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