原发性附睾肿瘤的诊断和治疗(附27例报告)  

Diagnosis and Treatment of Primary Epididymal Tumor: A Report of 27 cases

作　　者：傅强[1] 王法成[1] 李善军[1] 吕家驹[1] 丁克家[1] 徐祗顺[2] 

机构地区：[1]山东大学山东省立医院泌尿外科,济南市250021 [2]山东大学齐鲁医院泌尿外科

出　　处：《中国肿瘤临床》2007年第9期519-520,共2页Chinese Journal of Clinical Oncology

摘　　要：目的:总结原发性附睾肿瘤的诊断和治疗经验。方法:回顾性分析27例原发性附睾肿瘤的临床诊治资料。结果:良性肿瘤24例,恶性肿瘤3例。行肿瘤切除术16例,附睾切除术8例,睾丸附睾切除术1例,根治性睾丸切除加腹膜后淋巴清除术2例。结论:B超对附睾肿瘤的诊断有重要价值,可疑附睾肿瘤者应首选手术探查,良性者可行肿瘤或附睾切除,恶性者行根治性睾丸切除加腹膜后淋巴结清除术。Objective： To evaluate the diagnosis and treatment of primary epididymal tumor. Methods： Clinical data of 27 cases with primary epididymal tumor were reviewed. Results： Of the 27 cases diagnosed, 24 were benign minor tumors and 3 were malignant tumors according to the histopathological examination. Tumor excision, epididymectomy, orchidoepididymectomy and radical orchidoepididymectomy with retroperitoneal lymph node dissection were used in 16, 8, 1, and 2 patients, respectively. Conclusions： B ultrasound plays an important role in diagnosis of primary epididymal tumor. Surgical exploration remains the first choice if primary epididymal tumor is suspected. If the tumor is benign, excision of the tumor or epididymectomy is sufficient. When histopathological diagnosis shows malignancy, radical orchidoepididymectomy with retroperitoneal lymph node dissection should be performed.

关 键 词：肿瘤 原发性 附睾 

分 类 号：R737.21[医药卫生—肿瘤]