保留器官的睾丸部分切除术治疗睾丸腺瘤样瘤  

Organ-sparing partial orchietectomy for testicular adenomatoid tumor

作　　者：叶剑飞[1] 王冰[1] 马潞林[1] 赵磊[1] 王国良[1] 洪锴[1] YE Jian-fei;WANG Bing;MA Lu-lin;ZHAO Lei;WANG Guo-liang;HONG Kai(Department of Urology,Peking University Third Hospital,Beijing 100191, China)

机构地区：[1]北京大学第三医院泌尿外科,北京100191

出　　处：《北京大学学报（医学版）》2019年第2期365-368,共4页Journal of Peking University:Health Sciences

摘　　要：睾丸肿瘤的发生率相对较低,占男性全部恶性肿瘤的1%~2%,其中恶性占绝大多数,因此治疗睾丸肿瘤的主要方式是根治性睾丸切除术[1-3]。睾丸腺瘤样瘤是较罕见的睾丸良性肿瘤[4],以往国内外文献多以个案形式报道,也有报道因术前误诊为恶性肿瘤而切除器官[5-8],因此,有必要探讨睾丸腺瘤样瘤的临床病理特点,以便行保留器官的睾丸部分切除术,尤其对于年轻且有生育要求的患者极为重要。本文回顾性分析北京大学第三医院收治的3例睾丸腺瘤样瘤并行睾丸部分切除术患者的临床资料并结合相关文献进行讨论。Objective: The incidence of testicular tumors is relatively low which are mainly malignant, so the main way to treat testicular tumors is radical testicular resection. Testicular adenomatoid tumor is a rare testicular benign tumor, but is easily misdiagnosed as malignant tumors with removal of organs. This article aims to explore the clinical features of testicular adenomatoid tumor and its treatment. Methods: There were 133 cases of testicular tumor in the Peking University Third Hospital from May 1994 to November 2016. We conducted a retrospective analysis of three patients who underwent the treatment of partial orchiectomy with preservation of the organ and were pathologically diagnosed with testicular adenomatoid tumor after surgery. The follow-up was done by outpatient clinics and telephone inquiry after surgery. The related literature was also reviewed for further discussion. Results: Of all the 133 patients, 116 had radical resection of the testis and 17 had partial testicular resection due to specific reasons (5 cases of epidermoid cyst, 4 cases of teratoma, 3 cases of seminoma, 3 cases of adenomatoid tumor, and 2 cases of Sertoli cell tumor). The mean age of the 3 patients was (42.67±10.97) years (30-49 years), the mean hospital stay was (9.00±5.20) d (6-15 d), the mean body mass index was (26.20±1.42) kg/m 2 (25.00-27.76 kg/m 2 ), the mean serum human choionic gonadotophin (HCG) was (1.15± 0.11 ) IU/L (1.07-1.23 IU/L)(all normal) and the mean serum alpha-fetoprotein (AFP) was ( 2.12± 0.66)μg/L (1.65-2.58 μg/L)(both were normal). Ultrasound features revealed a clear or unclear border, solid, moderate echo nodule tumor in the testis. The mean maximal diameter of the tumor was (1.00± 0.44 ) cm (0.50-1.30 cm), and the mean duration of intraoperative warm ischemia time was (19.67±17.10) min (0-31 min)(only the last two cases). No recurrence or malignant transformation was observed during the follow-up. Conclusion: Testicular adenomatoid tumor is mainly based on the characteristics of ultrasound to d

关 键 词：睾丸肿瘤 腺瘤样瘤 保留器官 睾丸部分切除术 

分 类 号：R737.21[医药卫生—肿瘤]