摘要
目的:探讨睾丸网腺癌的发病和临床特点,以做到早诊断、早治疗。方法:报告6例睾丸网腺癌患者的临床资料。6例均为左侧发病,术前均诊断为左侧附睾和睾丸炎,并继发性睾丸鞘膜积液;拟行患侧附睾切除加鞘膜翻转术。术中发现左睾丸质硬有肿物并侵及附睾,遂行睾丸、附睾切除术。结果:术后病理检查诊断为睾丸网腺癌侵及睾丸和附睾;6例术后均获随访。结论:睾丸网腺癌在临床表现独特,根治性睾丸切除辅以根治性腹膜后淋巴结清扫术效果满意,放疗和化疗效果欠佳。
Objective：To study the clinical features of patients with adenocarcinoma of the rete testis, and to discuss the treatment of the disease. Methods：Clinical date of the patient with rete testis adenmcarcinoma was reported. 6 cases to the patient had the classic clinical presentation of epididymitis and orchitis; swelling scrotum, hydrocele of tunica Vaginales. Results：The patient underwent orchiectomy and epididymectomy got eradication of the clinical sign and symptom without complications. 6 cases were followed up postoperation. Conclusions： Rete testis adenocarinoma had special clinical character. Radical orchiectomy with RPLND is the choice of treatment, radiation and chemical therapy are of no significant effect.
出处
《临床泌尿外科杂志》
2007年第4期275-276,279,共3页
Journal of Clinical Urology
关键词
睾丸肿瘤
病理诊断
免疫组织化学
外科手术
Testis Adenocarcinome, Pathology Diagnosis, Immunohiostchemistry
Surgical operative
