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THE RARE TUMORS OF TESTICULAR TUNICS.

By Κωνσταντίνα Παπαδημητρίου - Καραπάνου

Abstract

THE PRESENT STUDY BASED BOTH ON BIBLIOGRAPHIC FACTS AND ON THE STUDY OF OUR MATERIAL WHICH INCLUDES NINE CASES OF TUMORS OF TESTICULAR TUNICS LEADS TO THE FOLLOWING CONCLUSIONS. THE TUMORS OF TESTICULAR TUNICS ARE VERY RARE AND THE MAJORITY OF THEM SIMULATES MALIGNANT TUMORS OF THE TESTIS. THESE TUMORS ARE BENIGN IN PERCENTAGE 60 - 70% AND THEREFORE DO NOT REQUIRE ORCHIECTOMY. CONSEQUENTLY THEY MUST BE GENERALLY INCLUDED IN THE DIFFERENTIAL DIAGNOSIS FROM TUMORS OF THE SCROTUM SO THAT UROLOGISTS AVOID USELESS ORCHIECTOMIES CONSIDERING THATMANY OF THESE TUMORS APPEAR IN YOUNG INDIVIDUALS. ACCORDING TO THE FACT THAT THE ANATOMIC STRUCTURES OF THIS REGION ARE IN CLOSE RELATION TO ONE ANOTHER THE PRECISE LOCALISATION OF TUMORS IS OFTEN DIFFICULT, EVEN AFTER A CAREFUL MACROSCOPIC EXAMINATION. SOME OF THESE TUMORS, FOR INSTANCE ADENOMATOID TUMOR, LIPOMA AND CARCINOSARCOMA PRESENT A GREAT HISTOGENETIC INTEREST. THE HISTOGENESIS OF ADENOMATOID TUMOR HAS NOT YET BEEN DEFINED AND THE MAIN THEORIES AT PRESENT ARE THE MESOTHELIAL AND MULLERIAN ORIGIN ALTHOUGH BOTH OF THEM ARE INADEQUATE. IT IS REMARKABLE THAT ALTHOUGH THE ADENOMATOID TUMOR AND THE MESOTHELIOMAARE POSSIBLY OF THE SAME HISTOGENETIC ORIGIN, THEY ARE NEOPLASMS WITH COMPLETELY DIFFERENT MACROSCOPIC, MICROSCOPIC AND BIOLOGICAL CHARACTERS. THE PRESENCE OF LIPOMA IN THE SCROTUM IMPRESSES BECAUSE THE SCROTUM OF ADULTS DOES NOT CONTAIN ADIPOSE TISSUE. THE CASE OF CARCINOSARCOMA INCLUDED IN OUR MATERIAL PRESENTS THE ONLY SIMILAR CASE THAT HAS EVER BEEN IN TESTICULAR TUNICS AND IT HASBEEN CONSIDERED AS A NEOPLASMA (ABSTRACT TRUNCATED)

Publisher: National and Kapodistrian University of Athens
Year: 1980
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