睾丸肾上腺残余瘤的诊治进展  

Progress in the diagnosis and treatment of testicular adrenal rest tumor

作　　者：田凤艳[1] 侯晓寒 董萧 李嘉 Tian Fengyan;Hou Xiaohan;Dong Xiao;Li Jia(Department of Pediatrics,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院儿科,郑州450052

出　　处：《中华实用儿科临床杂志》2023年第10期797-800,共4页Chinese Journal of Applied Clinical Pediatrics

基　　金：国家自然科学基金(81200883);河南省医学教育研究项目(Wjlx2020527);河南省科技攻关重点项目(SBGJ202102095);郑州大学2021年度培育基金(JC21854035)。

摘　　要：睾丸肾上腺残余瘤(testicular adrenal rest tumor,TART)常并发于先天性肾上腺皮质增生症,是一种睾丸良性肿瘤,多发于青春期及成人,触诊和阴囊超声是主要的诊断方法,TART控制不良者常因瘤体压迫导致睾丸功能受损甚至不育。现就TART的发病机制、流行病学、临床特点、诊断、鉴别诊断和治疗进行综述,以提高临床医师对该病的认识,早诊断、早治疗,改善预后。Testicular adrenal rest tumor(TART)is frequently complicated by congenital adrenal hyperplasia,which is a benign tumor of the testes frequently found in adolescents and adults.Palpation and scrotal ultrasound are the main diagnostic methods for TART.Poorly managed TART often results in testicular dysfunction or even infertility due to tumor compression.This article reviews the pathogenesis,epidemiology,clinical features,diagnosis,differential diagnosis and treatment of TART,thus improving the understanding of the disease to achieve early diagnosis,early treatment,and improved prognosis.

关 键 词：先天性肾上腺皮质增生症 睾丸肾上腺残余瘤 不育症 睾丸良性肿瘤 

分 类 号：R737.21[医药卫生—肿瘤]