睾丸良性肿瘤的诊断和治疗——附8例临床病例报告及文献复习

The diagnosis and treatment of benign testicular tumors:with 8 cases reported and literatures reviewed

目的探讨睾丸良性肿瘤的临床特点以提高诊治水平。方法回顾性分析我院20年间诊治的8例睾丸良性肿瘤患者的临床资料。结果患者年龄9个月～47岁,病理诊断为单侧睾丸畸胎瘤3例,单侧睾丸纤维瘤、表皮样囊肿、腺瘤样瘤、多房性囊肿各1例,双侧皮样囊肿1例。对其中5例行睾丸肿瘤切除术,3例行睾丸根治性切除术。随访9个月至23年,平均8.37年,均无复发。结论睾丸良性肿瘤并不罕见,值得重视,保留睾丸的肿瘤切除手术是有益的。

Objective： To investigate clinical characteristics, diagnosis, treatment and prognosis of benign testicular tumor. Methods： The clinical data of 8 cases of benign testicular tumors from May 1986 to September 2006 in our hospital were retrospectively studied, including the symptoms, physical signs, imaging features, tumor markers, treatment and pathology. Results： The patients aged from 9 months to 47 years （24.9 years in average）. Of these 8 cases, there were 3 testicular teratomas, 1 testicular fibroma, 1 epidermoid cyst, 1 adenomatoid tumor, 1 polycystic lesion and 1 bilateral testicular dermoid cyst. Testis-sparing surgery was performanced in five cases, radical orchidectomy in three cases. All patients were follow-up,without metastic or local recurrence found. Conclusions： Much more attention should be paid to benign testicular tumor. When benign testicular tumor is confirmed by FSE（frozen section examination）, the testis-sparing surgery is advisable.