Hayriye CANİK YAŞAR, Adem YAŞAR, Tufan YILMAZ, Nilay ŞEN TÜRK

Spermatik Kordun Nadir Tümörü: Malign Fibröz Histiyositoma

Sol inguinal kanalda ele gelen kitle şikayeti ile başvuran 70 yaşındaki hastada Manyetik Rezonans görüntülemede spermatik kordda heterojen solit kitle tespit edildi. Radikal orşiektomi sonrası patoloji sonucu Malign Fibröz Histiyositoma (MFH) olarak raporlandı. MFH daha çok ekstremite ve retroperitonda görülmekte olup spermatik kordda nadiren saptanmaktadır. Etyopatogenezi tam olarak aydınlatılamamış olup tedavide radikal orşiektomi yapılmaktadır. Adjuvan tedavi için ise kanıtlanmış bir tedavi yöntemi bulunmamaktadır. Spermatik kordda nadir görülen bu olguyu literatüre katkısı olması ve tedavi planının tanımlanabilmesi amacı ile sunmayı amaçladık.

Anahtar Kelimeler:

Malign Fibröz Histiyositoma, Spermatik Kord, Radikal Orşiektomi

Rare Tumor Of The Spermatic Cord: Malignant Fibrous Histiocytoma

A heterogeneous solid mass in the spermatic cord was detected in Magnetic Resonance imaging in a 70-year-old patient who presented with a palpable mass in the left inguinal canal. Pathology result after radical orchiectomy was reported as Malignant Fibrous Histiocytoma (MFH). MFH is mostly seen in the extremities and retroperitoneum, rarely found in the spermatic cord. Its etiopathogenesis has not been fully elucidated, and radical orchiectomy is performed in the treatment. There is no proven treatment method for adjuvant therapy. We aimed to present this rare case in the spermatic cord with the aim of contributing to the literature and defining the treatment plan.

Keywords:

Malignant Fibrous Histiocytoma, Spermatic Cord, Radical Orchiectomy,

PDF

___

1. O’Brian JE, Stout AP. Malignant fibrous xantomas. Cancer 1964;17:1445-55.
2. Weiss SW, Enzinger FM. Malignant fibrous histiocytoma: An Analysis of 200 cases. Cancer 1978; 41:2250-66.
3. Cole AT, Straus FH, Gill WB. Malignant fibrous histiocytoma: an unusual inguinal tumor. J Urol 1972; 107: 1005 – 1007.
4. Abou-Jaoude M, El Ali M. Malignant fibrous histiocytoma: a case report and literature review. Int Surg 2009; 94: 196 – 200.
5. Coursey Moreno C, Small WC, Camacho JC, Master V, Kokabi N, Lewis M et al. Testicular tumors: what radiologists need to know--differential diagnosis, staging, and management. Radiographics 2015;35:400-415.
6. Langsam LB, Fine G, Ponka JL. Malignant histiocytomas. Arch Surg 1978; 113: 473-6.
7. Tewfik HH, Tewfik FA, Latourette HB. Postirradiation malignant fibrous histiocytoma. J Surg Oncol 1981; 16: 199-202.
8. Meister P. Malignant fibrous histiocytoma –History, histology, histogenesis. Pathol Res Pract 1988; 183: 1-7.
9. Le Doussal V, Coindre JM, Leroux A, Hacene K, Terrier P, Bui NB et al. Prognostic factors for patients with localized primary malignant fibrous histiocytoma: a multicenter study of 216 patients with multivariate analysis Cancer . 1996 May 1;77(9):1823-3.
10. Nascimento AF, Raut CP: Diagnosis and management of pleomorphic sarcomas (socalled “MFH”) in adults. J Surg Oncol 2008; 97: 330 – 339.