Veliki spermatocitni seminom – redak tumor sa poreklom iz ćelija zametka

Rade Prelević; Boško Milev; Novak Milović; Mihajlo Ignjatovic; Aleksandar Spasic; Nikola Petrovic

doi:10.2298/VSP150527081P

Rade Prelević Clinic for Urology, Military Medical Academy, Belgrade, Serbia
Boško Milev Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Novak Milović Clinic for Urology, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Mihajlo Ignjatovic Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia
Aleksandar Spasic Clinic for Urology, Military Medical Academy, Belgrade, Serbia
Nikola Petrovic Clinic for Urology, Military Medical Academy, Belgrade, Serbia

DOI: https://doi.org/10.2298/VSP150527081P

Ključne reči: seminoma||, ||seminom, diagnosis||, ||dijagnoza, diagnosis, differential||, diferencijalna, urogenital surgical procedures||, ||hirurgija, urogenitalna, procedure, treatment outcome||, ||lečenje, ishod,

Sažetak

Uvod.

Spermatocitni seminom predstavlja retku varijantu malignog tumora testisa benevolentnog kliničkog toka i povoljne prognoze. Prikaz bolesnika. U radu je prikazan bolesnik, starosti 69 godina, sa atipičnom prezentacijom spermatocitnog seminoma koji je incijalno dijagnostikovan kao gigantska bilateralna hidrocela koja je kompromitovala hodanje. Nakon dugogodiљnje evolucije bolest se ispoljila sa simptomima i znacima akutnog skrotuma. Preoperatvnom ehosonografijom postavljena je dijagnoza infiltrativnog tumora levog testisa, a potom je učinjena leva skrotalna orhiektomija. Patohistoloљkim pregledom preparata postavljena je dijagnoza spermatocitnog seminoma testisa. Zaključak. Uprkos povoljnoj prognozi za ovaj histoloљki tip, postoji potencijalna evolucija u pravcu razvoja sarkomske komponenete u tumoru sa visokim malignim potencijalom i mogućnoљću nastanka sistemskih visceralnih i limfonodalnih metastaza. Potreban je individualni pristup svakom bolesniku u skladu sa definitivnom patohistoloљkom dijagnozom.

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