附睾腺瘤样瘤1例报告并文献复习  

Adenomatoid tumor of epididymis: a case report and review of literatures

作　　者：王立民 李立坤 张金存 胡锦洋 张立国 张小军 曹凤宏 WANG Li-min;LI Li-kun;ZHANG Jin-cun;HU Jin-yang;ZHANG Li-guo;ZHANG Xiao-jun;CAO Feng-hong(Department of Urology,Affiliated Hospital of North China University of Technology,Hebei Province,Tangshan 063000,China)

机构地区：[1]华北理工大学附属医院泌尿外科

出　　处：《中国当代医药》2019年第30期174-176,共3页China Modern Medicine

摘　　要：附睾腺瘤样瘤(ATE)是一种较为罕见的附睾良性占位性疾病。其发病时多因附睾及其附近无症状肿块而就诊,肿块可出现在精索、白膜及睾丸等部位。附睾腺瘤样瘤临床诊断比较困难,经常被误诊为附睾炎性肿块、附睾囊肿等其他占位病变。本文通过对1例附睾腺瘤样瘤患者的临床资料进行分析,并进行文献复习,进一步加深对该疾病的认识。本例患者行附睾肿物切除术,病理诊断为附睾腺瘤样瘤。术后随访1年未发现肿瘤复发、转移。附睾腺瘤样瘤临床表现缺乏特异性,极易误诊为其他疾病,需借助彩超、病理明确诊断,手术切除是主要的治疗手段,一般无复发转移。Adenomatoid tumor of epididymis(ATE)is a rare benign space occupying disease of the epididymis.In addition,the masses can also be found in spermatic cord,tunica albuginea and testis.It is widely believed that the disease is derived from mesothelium.Epididymaladenomatoid tumor is difficult to diagnose clinically,and is often misdiagnosed as epididymal inflammatory mass,epididymal cyst and other space-occupying lesions.This paper analyzed the clinical data of a patient with epididymaladenomatoid tumor and reviewed the literature to further deepen the understanding of this disease.This patient underwent a left epididymal mass resection and the pathological diagnosis was an epididymal adenoma.The patient was followed up for 1 year after surgery and no tumor recurrence and metastasis was found.The clinical manifestations of epididymal adenomatoid tumors lack specificity.It is easily misdiagnosed as other diseases.It needs to be diagnosed with color ultrasound and pathology.Surgical excision is the main treatment,usually without recurrence or metastasis.

关 键 词：附睾肿瘤 腺瘤样瘤 诊断 鉴别诊断 治疗 

分 类 号：R737.21[医药卫生—肿瘤]