RESUMO
Angiomyxomas are rare soft tissue neoplasms rich in myxoid matrix and blood vessels that typically present as nodules on the trunk, head, and limbs in adults. They are classified as either cutaneous or aggressive based on histological findings and extent of local growth. There are less than 150 reported cases in the literature. In this case report we describe the first paratesticular case of a cutaneous angiomyxoma in a pediatric patient, who presented with a transilluminating paratesticular mass consistent with a hydrocele, but showed solid and vascular features on ultrasound.
Assuntos
Mixoma , Escroto , Neoplasias Cutâneas , Hidrocele Testicular/diagnóstico , Neoplasias Testiculares/diagnóstico , Procedimentos Cirúrgicos Urológicos Masculinos/métodos , Criança , Diagnóstico Diferencial , Secções Congeladas/métodos , Humanos , Achados Incidentais , Masculino , Mixoma/diagnóstico , Mixoma/patologia , Mixoma/cirurgia , Exame Físico/métodos , Escroto/diagnóstico por imagem , Escroto/patologia , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/cirurgia , Resultado do Tratamento , Ultrassonografia/métodosRESUMO
OBJECTIVE: To evaluate male fertility in Crohn disease (CD) and ulcerative colitis (UC) by examining semen analysis results and paternity from the SHARE study (Subfertility Health Assisted Reproduction and the Environment), a population-based cohort of semen analysis results from Utah men. METHODS: A population-based cohort of men with CD or UC was identified using the Utah Population Database (contains person-level linked demographic, genealogical, and medical record information for 85% of Utahans) from 1996 to 2014, and validated by clinical chart review. This cohort was then cross-linked (n = 55) to the SHARE population dataset of semen analysis results. Men with CD or UC were compared with population-based, age-matched, paired (1:1) controls (n = 47). Paternity was evaluated though presence and number of linked offspring and inter-birth interval. RESULTS: Offspring were identified in 71% of UC patients (mean of 1.8 children) and 61% of CD patients (mean of 1.2 children). Compared with matched controls, there were no differences in number of offspring, mean inter-birth interval, or any of the evaluated semen analysis parameters among either men with CD or UC. CONCLUSION: Fertility and semen analysis values among men with UC or CD are not significantly impacted compared with population-based, age-matched controls.
