摘要
目的：探讨成人睾丸良性肿瘤的诊断与治疗方法。方法：对1993～2005年间收治的15例睾丸良性肿瘤患者的临床资料及预后情况进行回顾性分析。结果：多为体检时发现睾丸肿物,MRI、B超及术中冷冻切片活检是其主要诊断方法；行睾丸切除术3例,保留睾丸的肿瘤切除术12例,病理检查证实表皮样囊肿9例,支持细胞瘤2例,支持细胞-间质细胞瘤3例,间质细胞瘤1例。术后2个月～11年随访,无复发及恶变。结论：睾丸良性肿瘤的术前诊断应引起足够重视,B超、MRI及术中冷冻切片活检具有临床诊断价值；治疗首选保留睾丸的肿瘤切除术,这对于患者术后生理及心理方面均具有重要意义。
Objective：To analyse the diagnosis and management of adult benign testis tumor and to discuss the treatment of the disease. Methods： A analyse of history, symptom, examinations, prognosis, surgical treatment and long-term outcome of disease were performed in 15 cases of benign testis , who had been improved by pathologic examination. Results：Almost all of the fifteen cases were found by physical examination. Uhrasonography, MRI and frozen biopsy were performed for infertility evaluation. Pathologic examination approved that nine cases were epidermoid cyst ,two were sertoil cell tumor, foue were sertolisleydig cell tumor and the other one was leydig cell tumor. Radical orchiectomy was performed in 3 patients and testis sparing surgery with microsurgical excision of tumor in 12 patient There was no relapse after a median follow-up of 74 months （range, 2 months- 11 years）. Conclusions： More attention should be payed to the diagnosis of adult benign tesits tumor preoperation. Ultrasonography MRI and frozen biopsy are performed for infertility evaluation. Testis-sparing surgery is the main treatment, it is good for phythiologic and psychologic recovering after operation.
出处
《临床泌尿外科杂志》
2006年第6期439-441,共3页
Journal of Clinical Urology
关键词
睾丸肿瘤
肿瘤切除术
诊断
治疗
Tesits tumor
Testis-sparing surgery
Diagnosis
Treatment
