高频超声对睾丸微石症与睾丸肿瘤间的关系初步探讨  

Association between testicular microlithiasis and testicular cancer is investigated in a population referred for scrotal sonography

作　　者：廖书生[1] 胡元平[1] 贾志军[1] 赵亮[1] 陈顺平[1] 陈斌[1] 陈漫宇[1] 

机构地区：[1]温州医学院附属第一医院超声影像科,浙江温州325000

出　　处：《医学影像学杂志》2012年第6期984-986,共3页Journal of Medical Imaging

摘　　要：目的探讨睾丸微石症与睾丸肿瘤的关系。方法回顾分析2003年1月～2011年12月我院门诊及住院12956例患者的阴囊超声检查资料。参考国外的标准对睾丸微石症(TM)进行分级,将其分为局限型TM(LTM)和典型的TM(CTM),其中又将CTM分为Ⅰ级、Ⅱ级和Ⅲ级。结果①所有患者中共检出睾丸微石症277例,检出率2.14%(277/12956);单侧病变34例(占12.3%),双侧病变243例(87.7%)。LTM有62例(22.4%),CTM型中Ⅰ级92例(33.2%),Ⅱ级68例(24.5%),Ⅲ级55例(19.9%);②检出睾丸肿瘤52例,检出率0.40%(52/12956)。277例睾丸微石症患者中合并睾丸肿瘤19例,发生率6.9%(19/277),而在12679例无睾丸微石症者中仅33例合并睾丸肿瘤,发生率0.3%(33/12679),睾丸微石症患者的睾丸肿瘤发生率明星高于无微石症者(P<0.01)。但不同级别睾丸微石症的睾丸肿瘤发生率差异无统计学意义(P>0.05)。结论睾丸微石症与睾丸肿瘤的发生具有一定的相关性,但不同级别睾丸微石症的睾丸肿瘤发生率无差异。Objective To evaluate the possible association of testicular microlithiasis （TM） with testicular cancer. Methods A total of 12956 patients undergoing scrotal ultrasound examination between January 2003 and December 2011 in our hospital were retrospectively reviewed. The presence of TM and testicular cancer, and the number of lesions as well as the coexistence of them were studied. Among patients with TM, further grading of TM with testicular cancer was performed. Results TM was present in 277 patients, giving a prevalence of 2.14% （277/12,956）. Testicular cancer was diagnosed in 52 patients （0.40%） out of a total of 12,956. Nineteen out of 277 （6.9%） patients with TM had concomitant testicular tumor, thirty-three of the remaining 12,679 （0.3 %） patients without microlithiasis were diagnosed with testicular cancer, testicular malignancy was meaningfully associated with TM. There was no significant difference in the prevalence of testic ular cancer between each grade. Conclusion There was an association between TM and testicular cancer. Further grading of TM does not seem to be essential with regard to the detection of patients with testicular cancer and TM.

关 键 词：睾丸 超声 睾丸微石症 睾丸肿瘤 

分 类 号：R697.2[医药卫生—泌尿科学] R737.21[医药卫生—外科学]