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首页> 外文期刊>Irish medical journal. >Presentation of malignant melanoma metastases as a testicular lump.
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Presentation of malignant melanoma metastases as a testicular lump.

机译：恶性黑色素瘤转移为睾丸肿块。

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Metastatic solid testes tumours are very rare. We describe a 52 year old man with malignant melanoma metastases to his testis.A 52 year old man with a 2 week history of lump in right testis, 7kg weight loss and fatigue. He had excision of malignant melanoma (darks level 3, breslow thickness 0.87mm) from his neck 6 years previously. Yearly dermatology reviews were unremarkable.Physical examination revealed marked weight loss and a mass in the upper pole testis. No skin lesions were noted. Testicular ultrasound revealed a large irregular cystic area within right testis measuring 1.5cm X 2.2cm in size with three other discrete lesions in the right testis. Tumour markers were normal apart from a raised lactate dehydrogenase (LDH)=1254IU/L A right radical orchidectomy was performed and confirmed a malignant melanoma (Figures 1 and 2). Staging computerised tomography (CT) scans showed diffuse lymphadenopathy, lung and liver metastases. He was commenced on Interferon alpha by the oncology service.
机译：转移性实体睾丸肿瘤非常罕见。我们描述了一个52岁的男性恶性黑色素瘤转移到他的睾丸.52岁的一个男性有2周的右睾丸肿块病史，体重减轻了7公斤并且疲劳。 6年前，他从颈部切除了恶性黑色素瘤（3级，黑色，厚度为0.87mm）。每年的皮肤病学检查都没什么异常，体格检查发现体重明显减轻，上极睾丸有肿块。没有发现皮肤损伤。睾丸超声检查发现右睾丸内有一个大的不规则囊肿区域，大小为1.5cm X 2.2cm，右睾丸内还有其他三个离散病变。除乳酸脱氢酶升高（LDH）= 1254IU / L外，肿瘤标志物正常。进行了右根切除术，确认为恶性黑色素瘤（图1和图2）。分期计算机断层扫描（CT）扫描显示弥漫性淋巴结肿大，肺和肝转移。肿瘤科开始使用干扰素α。

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