附睾腺瘤样瘤2例报告并文献复习  

Adenomatoid tumors in epididymis-2 cases report and literature review

作　　者：罗能钦[1] 张志华[1] 

机构地区：[1]甘肃省人民医院泌尿外科

出　　处：《中国男科学杂志》2014年第11期33-36,共4页Chinese Journal of Andrology

摘　　要：目的：探讨附睾腺瘤样瘤临床及病理特征、组织来源及诊治方案，提高诊断和治疗水平。方法回顾性分析2例经病理证实的附睾腺瘤样瘤的临床及病理学资料，结合近期文献进行分析和探讨。结果本病好发生于附睾。临床表现多为阴囊内无痛性肿块偶有疼痛。彩超可确定肿瘤的部位。所有病例均行肿瘤切除术。结论附睾腺瘤样瘤临床表现及影像学表现无特异性，多认为来源于间皮。诊断主要靠病理确诊。免疫组化和穿刺细胞学检查对本病的诊断和鉴别诊断有重要意义。肿瘤切除术中行冰冻切片检查，以确定睾丸及附睾保留的范围。Objective To investigate the clinical and pathological features, histogenesis, diagnostic and therapeutic strategy of adenomatoid tumors in male reproductive system.Methods Clinical and pathological data of 2 patients with adenomatoid tumors who were diagnosed by pathological check, were analyzed retrospectively. The related literatures were reviewed. Results Adenomatoid tumors were the most common tumors of epididymis. It typically presented as a hard painless mass in scrotum. All tumors were resected.Conclusion Clinical and imaging manifestation of adenomatoid tumors in male reproductive system are not specific. The diagnosis mainly depends on pathology. Immunohistochemical staining and aspiration cytology are helpful in diagnosis and supports that the tumor is from mesothelium. Frozen section is applied in the resection.The testis and epididymis sparing procedure should be performed.

关 键 词：腺瘤样瘤 附睾 

分 类 号：R737.21[医药卫生—肿瘤]