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A case report of myoid gonadal stromal tumor treated with testis sparing surgery

BACKGROUND: Myoid gonadal stromal tumors (MGST) of the testis represent a very rare finding. They are an emerging clinicopathological entity with specific features and identity. Nowadays, pathological recognition and diagnosis of MGSTs still represents a difficult challenge in most cases and there a...

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Autores principales: Ercolino, Amelio, Manes, Francesco, Vasuri, Francesco, Bianchi, Lorenzo, Garofalo, Marco, Piazza, Pietro, Corcioni, Beniamino, Schiavina, Riccardo, Golfieri, Rita, Fiorentino, Michelangelo, Colecchia, Maurizio, Brunocilla, Eugenio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9641068/
https://www.ncbi.nlm.nih.gov/pubmed/36386257
http://dx.doi.org/10.21037/tau-22-179
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author Ercolino, Amelio
Manes, Francesco
Vasuri, Francesco
Bianchi, Lorenzo
Garofalo, Marco
Piazza, Pietro
Corcioni, Beniamino
Schiavina, Riccardo
Golfieri, Rita
Fiorentino, Michelangelo
Colecchia, Maurizio
Brunocilla, Eugenio
author_facet Ercolino, Amelio
Manes, Francesco
Vasuri, Francesco
Bianchi, Lorenzo
Garofalo, Marco
Piazza, Pietro
Corcioni, Beniamino
Schiavina, Riccardo
Golfieri, Rita
Fiorentino, Michelangelo
Colecchia, Maurizio
Brunocilla, Eugenio
author_sort Ercolino, Amelio
collection PubMed
description BACKGROUND: Myoid gonadal stromal tumors (MGST) of the testis represent a very rare finding. They are an emerging clinicopathological entity with specific features and identity. Nowadays, pathological recognition and diagnosis of MGSTs still represents a difficult challenge in most cases and there are no data of specific radiological features of these tumors expect for what seen by ultrasound; besides a conservative surgical approach was never performed to treat these lesions. CASE DESCRIPTION: We present the case of a 20-year-old young man patient with symptoms suspicious for left varicocele, who was incidentally diagnosed with right testicular nodule via scrotal doppler ultrasound powered with contrast enhancement infusion and subsequent multiparametric magnetic resonance imaging. Then, lesion was treated through a testis sparing surgical approach. Histopathology, which included an external revision by an experienced Center, revealed a MGST with benign features, so that no further treatment was considered. 3 and 12 months after surgery a contrast enhancement ultrasound was performed with no evidence of recurrence. CONCLUSIONS: Previous reported cases of MGST were all difficult to characterize as a specific pathological entity; treatment usually applied was radical orchiectomy and a subsequent total Body CT was performed for staging purpose. No metastatic spreading nor recurrence were ever reported. Considering the favorable behavior of this pathologic entity, testis-sparing surgery with no radiation exposure during follow-up is a safe and effective strategy.
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spelling pubmed-96410682022-11-15 A case report of myoid gonadal stromal tumor treated with testis sparing surgery Ercolino, Amelio Manes, Francesco Vasuri, Francesco Bianchi, Lorenzo Garofalo, Marco Piazza, Pietro Corcioni, Beniamino Schiavina, Riccardo Golfieri, Rita Fiorentino, Michelangelo Colecchia, Maurizio Brunocilla, Eugenio Transl Androl Urol Case Report BACKGROUND: Myoid gonadal stromal tumors (MGST) of the testis represent a very rare finding. They are an emerging clinicopathological entity with specific features and identity. Nowadays, pathological recognition and diagnosis of MGSTs still represents a difficult challenge in most cases and there are no data of specific radiological features of these tumors expect for what seen by ultrasound; besides a conservative surgical approach was never performed to treat these lesions. CASE DESCRIPTION: We present the case of a 20-year-old young man patient with symptoms suspicious for left varicocele, who was incidentally diagnosed with right testicular nodule via scrotal doppler ultrasound powered with contrast enhancement infusion and subsequent multiparametric magnetic resonance imaging. Then, lesion was treated through a testis sparing surgical approach. Histopathology, which included an external revision by an experienced Center, revealed a MGST with benign features, so that no further treatment was considered. 3 and 12 months after surgery a contrast enhancement ultrasound was performed with no evidence of recurrence. CONCLUSIONS: Previous reported cases of MGST were all difficult to characterize as a specific pathological entity; treatment usually applied was radical orchiectomy and a subsequent total Body CT was performed for staging purpose. No metastatic spreading nor recurrence were ever reported. Considering the favorable behavior of this pathologic entity, testis-sparing surgery with no radiation exposure during follow-up is a safe and effective strategy. AME Publishing Company 2022-10 /pmc/articles/PMC9641068/ /pubmed/36386257 http://dx.doi.org/10.21037/tau-22-179 Text en 2022 Translational Andrology and Urology. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Case Report
Ercolino, Amelio
Manes, Francesco
Vasuri, Francesco
Bianchi, Lorenzo
Garofalo, Marco
Piazza, Pietro
Corcioni, Beniamino
Schiavina, Riccardo
Golfieri, Rita
Fiorentino, Michelangelo
Colecchia, Maurizio
Brunocilla, Eugenio
A case report of myoid gonadal stromal tumor treated with testis sparing surgery
title A case report of myoid gonadal stromal tumor treated with testis sparing surgery
title_full A case report of myoid gonadal stromal tumor treated with testis sparing surgery
title_fullStr A case report of myoid gonadal stromal tumor treated with testis sparing surgery
title_full_unstemmed A case report of myoid gonadal stromal tumor treated with testis sparing surgery
title_short A case report of myoid gonadal stromal tumor treated with testis sparing surgery
title_sort case report of myoid gonadal stromal tumor treated with testis sparing surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9641068/
https://www.ncbi.nlm.nih.gov/pubmed/36386257
http://dx.doi.org/10.21037/tau-22-179
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