原发性附睾肿瘤的诊断和治疗(附16例报告)  

The diagnosis and treatment of primary epididymal tumor(report of 16 cases)

作　　者：方建军[1] 蔡雅富[1] 任胜强[1] 梁宇[1] 徐立奇[1] 

机构地区：[1]解放军第一一三医院泌尿外科,宁波315040

出　　处：《现代泌尿生殖肿瘤杂志》2010年第3期151-154,共4页Journal of Contemporary Urologic and Reproductive Oncology

摘　　要：目的探讨原发性附睾肿瘤的临床特点,提高诊断和治疗水平。方法回顾性总结16例接受手术治疗的原发性附睾肿瘤患者的临床资料,其中13例为附睾良性肿瘤,包括附睾腺瘤样瘤7例,附睾平滑肌瘤3例,附睾纤维假瘤1例,附睾乳头状囊腺瘤1例,附睾硬化性血管瘤1例。13例附睾良性肿瘤患者中8例行肿瘤切除,5例行附睾切除。附睾恶性肿瘤3例,其中腺癌2例,非霍奇金淋巴瘤1例,均行睾丸附睾切除加腹膜后淋巴结清扫。结果良性肿瘤12例获随访,至今无一例复发;恶性肿瘤均获随访,预后差,2例附睾腺癌术后9个月均死亡,1例非霍奇金淋巴瘤术后2年死亡。结论附睾肿瘤大部分是良性肿瘤,手术效果好。附睾恶性肿瘤少见,但预后差。手术是治疗附睾肿瘤的首选方法 。Objective To investigate the clinic feature and improve the diagnosis and treatment of primary epididymal tumor.Methods A total of 16 cases of epididymal tumor patients were analyzed retrospectively.Of the cases,13（81.2%） were benign and 3（18.8%）were malignant.The benign tumors include adenomatoid tumors（7 cases）,leiomyomas（3 cases）,fibrous pseudomas（1 cases）,papillary cystadenoma（1 case）,sclerosing hemangioma（1 case）.The malignant tumors include 2 cases of adenocarcinoma,1 case of non-Hodgkin lymphoma.All the benign tumors patients were cured by the removal of tumor or the whole epididymis of the same side.The malignant tumor patients underwent radical orchictomy with retroperitoneal lymph node dissection.Results Twelve cases of benign epididymal tumor patients were followed-up with no recurrence.All cases of malignant tumor patients were followed-up with poor prognosis.Two cases of adenocarcinoma patients died within 9 monthes postoperatively,another 1 case of non-Hodgkin lymphoma patient died 2 years postoperatively.Conclusions Most were benign,and the effect of resection was very well.Malignant epididymal tumors were rare,but their prognosis was extremery poor.Surgical resection is the primary choice.

关 键 词：附睾肿瘤 诊断 治疗 

分 类 号：R737.21[医药卫生—肿瘤]