腹腔内隐睾恶变3例报告  

Malignant change of intra-abdominal cryptorchidism(3 cases report)

作　　者：孙承文[1] 阳东荣[1] 单玉喜[1] 薛波新[1] 

机构地区：[1]苏州大学附属第二医院泌尿外科,215004

出　　处：《现代泌尿生殖肿瘤杂志》2012年第1期26-28,共3页Journal of Contemporary Urologic and Reproductive Oncology

摘　　要：目的探讨腹腔内隐睾恶变为巨大精原细胞瘤的临床特点。方法回顾性分析2007年6月至2011年1月我院收治的3例腹腔内隐睾恶变为巨大精原细胞瘤患者的临床资料及诊治方法,并复习相关文献。结果 3例患者的平均年龄为32.3岁,均表现为隐睾、腹痛及盆腔内肿块。3例最终均行手术治疗,术后病理类型均为精原细胞瘤。术后1个月开始给予放疗或化疗。随访0.5至5年,例1术后5年,健在,性功能正常,未生育;例2术后4.5年,健在;例3术后0.5年,健存。结论腹腔精原细胞瘤大多继发于隐睾,隐睾患者腹盆腔有增大的肿块应高度怀疑隐睾恶变,手术切除加放化疗较理想。隐睾患者需早期诊断、治疗及长期随访。Objective To study the clinical feature of the retroperitoneal enormous seminoma in cryptorchidsm.Methods From June.2007 to Jan.2011,3 cases with retroperitoneal enormous seminoma in cryptorchidism treated in Second Affiliated Hospital of Soochow University were reported,and the clinical manifestations,diagnosis and treatment were analyzed retrospectively.Results The average age was 32.3 years old（range,23-45 years）.All cases were proved to be seminoma by pathology.The patients received radiotherapy and chemotherapy within one month after surgery.Postoperatively,3 patients were followed up for 0.5 to 5 years.The first patient was followed up for 5 years.His sexual function is normal,but barrenly.The second patient was followed up 4.5 years.The third patient was followed up 0.5 years.All of them survived and had no recurrence.Conclusions Retroperitoneal seminoma are mostly cancerated from cryptorchidism.The cryptorchidism with abdominal mass should be suspected of canceration.The ideal treatment strategies are tumor resection combined with radiotherapy or chemotherapy.Early intervention is advocated to prevent malignant canceration.Even treated with orchidopexy or orchiectomy,the patient should be followed up lifelong.

关 键 词：睾丸肿瘤 隐睾 恶变 精原细胞瘤 

分 类 号：R737.21[医药卫生—肿瘤]