超声检查在睾丸肿瘤诊断与鉴别诊断中的价值初探

Value of Ultrasonography in the Diagnosis and Differential Diagnosis of Testicular Tumor

目的:探讨超声检查在睾丸肿瘤诊断与鉴别诊断中的价值。方法:对我院1998～2005年172例睾丸肿块的超声图像结合其手术及病理结果进行回顾性分析。结果:172例睾丸肿块中超声诊断50例睾丸血肿,13例睾丸囊肿,26例睾丸炎性结节,25例睾丸结核,58例睾丸肿瘤;睾丸肿瘤中50例为生殖细胞瘤,其中精原细胞瘤41例,非精原细胞性生殖细胞瘤(NSGCT)9例;6例为非生殖细胞瘤;3例为继发性肿瘤。超声检查发现典型精原细胞瘤、畸胎瘤、表皮样囊肿、间质细胞瘤及多发性的恶性淋巴瘤具有较为特征性的声像图。结论:超声检查可以对睾丸肿瘤作出初步的诊断和鉴别诊断,为进一步治疗方案的制定提供依据,是睾丸肿瘤的首选影像学检查方法。

Objective： To evaluate uhrasonography in the diagnosis and differential diagnosis of testicular tumor. Methods： Ultrasound findings and post-operation pathological results were retrospectively studied in 172 men with testicular mass 1998 to 2005. Results： Of the total number, 50 cases were testicular hematoma, 13 testicular cyst, 26 testicular inflammatory node, 25 testicular tuberculosis and 58 testicular tumor. Among 59 testicular tumor cases, 50 were germ cell tumor（ including 41 cases of seminoma and 9 cases of nonseminoma germ cell tumor）, 6 were non-germ cell tumor and 3 were secondary tumor. The sonographic features of typical seminoma, teratomas, epidermic cyst, interstitial cell tumor and malignant lymphoma were obvious. Conclusion ： Uhmsonography, contributive to the preliminary diagnosis and differential diagnosis of testicular tumor and capable of evidence for further treatment, can be the first choice in medical imaging for the diagnosis of testicular tumors.