原发性附睾肿瘤的诊断与治疗(附35例报告)  

Diagnosis and treatment of primary epididymal tumor:A report of 35 cases

作　　者：杨文增[1] 崔振宇[1] 张伟[1] 周洪月[1] 王全胜[1] 张彦桥[1] 师晓强[1] 

机构地区：[1]河北大学附属医院泌尿外科,河北保定071000

出　　处：《中华男科学杂志》2010年第6期527-530,共4页National Journal of Andrology

摘　　要：目的:探讨原发性附睾肿瘤的诊断及治疗方法。方法:回顾性分析本院35例原发性附睾肿瘤患者的临床资料。行肿瘤切除术10例,患侧附睾切除23例,患侧睾丸附睾切除加腹股沟淋巴结清扫1例,患侧根治性睾丸切除加二期腹膜后淋巴结清扫术1例。附睾恶性纤维组织细胞瘤1例术后辅以放疗及化疗。结果:术后病理诊断良性肿瘤33例,其中腺瘤样瘤21例,平滑肌瘤7例,纤维瘤4例,乳头状囊腺瘤1例;恶性肿瘤2例,附睾恶性纤维组织细胞瘤1例,附睾腺癌1例。35例术后随访10个月至6年,未见复发、转移及死亡病例。结论:原发性附睾肿瘤术前明确诊断困难,对于高度怀疑附睾肿瘤的患者应首选手术探查,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扫术。Objective： To explore the diagnosis and treatment of primary epididymal tumor. Methods： We retrospectively analyzed the clinical data of 35 cases of pathologically confirmed primary epididymal tumor. Of the total number of patients, 10 underwent tumor excision, 23 received epididymeetomy, 1 was treated by simple orchidoepididymectomy, and by radical orehidoepididymectomy with second-stage retroperitoneal lymph node dissection. Results： Postoperative pathology confirmed 33 cases of benign tumor （ including 21 adenomatoid tumor, 7 leiomyoma, 4 fibroma, and 1 papillary eystadenoma） , and 2 cases of malignancy （ 1 malignant fibrous histiocytoma and 1 adenoearcinoma）. The follow-up lasted 10 months to 6 years, which revealed no recurrence, metastasis and death. Conclusion： Primary epididymal tumor is difficult to be definitely diagnosed preoperatively. Surgical exploration is the first choice for those highly suspected of the disease. Tumor excision or epididymectomy can be considered for benign cases, while radical orehidoepididymectomy with retroperitoneal lymph node dissection is recommended in case of malignancy.

关 键 词：附睾 肿瘤 诊断 治疗 

分 类 号：R737.21[医药卫生—肿瘤]