原发性附睾肿瘤的诊断和治疗

目的探讨原发性附睾肿瘤的临床特点,提高诊断和治疗水平。方法回顾性总结16例接受手术治疗的原发性附睾肿瘤患者的临床资料,其中13例为附睾良性肿瘤,包括附睾腺瘤样瘤7例,附睾平滑肌瘤3例,附睾纤维假瘤1例,附睾乳头状囊腺瘤1例,附睾硬化性血管瘤1例。13例附睾良性肿瘤患者中8例行肿瘤切除。附睾恶性肿瘤3例,其中腺癌2例,非霍奇金淋巴瘤1例,均行睾丸附切除加腹膜后淋巴结清扫。结果良性肿瘤12例获随访,至今无一例复发;恶性肿瘤均获随访,预后肿瘤大部分是良性肿瘤,手术效果好。附睾恶性肿瘤少见,但预后差。手术是治疗附睾肿瘤的首选方法。

Objective To investigate the clinical characteristics of primary epididymal tumor, improve the level of diagnosis and treatment. Methods Retrospective analysis of 16 cases underwent operation treatment of primary epididymal tumors in patients with the clinical data, including 13 cases of benign neoplasm of epididymis, including epididymis adenomatoid tumor in 7 cases,3 cases of epididymal leiomyoma, epididymal fibrous pseudotumorl cases, papillary cystadenoma of the epididymis in 1 cases,1 cases of sclerosing hemangioma of the epididymis. In 13 cases of benign neoplasm of epididymis in 8 of the patients underwent tumor resection. Epididymal malignant tumor in 3 cases, including2 cases of adenocarcinoma,1 cases of non Hodgkin lymphoma, underwent testicular attached excision combined with retroperitoneal lymph node dissection. Results 12 cases of benign tumor followed, so far no one recurred; malignant tumor were followed up, prognostic tumor is mostly a benign tumor, operation effect well. Epididymal malignant tumors are rare, but the prognosis is poor. Operation treatment of epididymal tumor is the preferred method of.