睾丸部分切除术在良性睾丸肿瘤治疗中的应用

Application of testis-sparing surgery in treatment of benign testicular tumor

目的评价睾丸部分切除术对睾丸良性肿瘤患者的临床应用价值,提高睾丸良性肿瘤的诊治水平。方法回顾性分析我院1996年12月至2011年12月收治的5例良性睾丸肿瘤行睾丸部分切除术患者的临床资料,包括症状、体征、影像学资料、肿瘤标志物等。结果 5例均行睾丸部分切除术,术中冰冻病理均提示良性肿瘤,术后病理提示表皮样囊肿3例,成熟型畸胎瘤2例。术后随访3～68个月,平均30.5个月,均无肿瘤复发。1例11岁儿童随访3年,睾丸发育良好。4例成年患者,3例术后已生育;1例随访至今,精液常规正常,无抗精子抗体。结论术前诊断睾丸良性肿瘤可能性大的患者,可考虑行睾丸部分切除术,避免不必要的睾丸切除,减少对青少年患者生理、心理的影响。

Objective To evaluate clinical value of testis-sparing surgery in benign testieular tumor and improve our diag- nostic and treatment level. Methods The clinical data of five cases of benign testicular tumors which had been cured by testis- sparing surgery from December 1996 to December 2011 were presented and discussed, including symptoms, physical signs, im- aging features, tumor markers, treatment and pathology. Results Testis-sparing surgery was successfully performed in all five cases, and pathological diagnosis included three cases of epidermoid cyst, two cases of mature teratoma. Five patients received interview by the average follow-up time of 30.5 months （3 months to 68 months） after operation, without local recurrence. Conclusion The testis-sparing surgery is advisable when probable outcome is benign testicular tumor before operation. It can prevent unnecessary testis resetion and reduce the effects of psychological and physical development.