小儿睾丸疾病102例临床病理分析

Clinicopathologic analysis of 102 cases of testicular disease in children

目的探讨小儿睾丸疾病的临床病理特征。方法对2000年1月至2011年12月送检手术切除的睾丸或睾丸肿块标本102例(14岁以内)临床病理资料进行回顾性分析。结果 102例睾丸疾病中先天发育异常16例(15.69%),以隐睾为主(12.75%,13/102);炎症性疾病41例(40.20%),以睾丸扭转坏死为主(35.29%,36/102);良性肿瘤25例(24.51%),以成熟性畸胎瘤为主(18.63%,19/102);恶性肿瘤20例(19.61%),均为卵黄囊瘤。结论小儿睾丸疾病以炎症性疾病和先天发育异常常见,良性肿瘤所占比例较高,恶性肿瘤中最常见的是卵黄囊瘤。

Objective To investigate the clinicopathologic features of testicular disease in children.Methods The clinicopathologic data in 102 specimens of resected testis or testicular bump（aged less than 14 years old） from January 2000 to December 2011were performed the retrospective analysis.Results Among 102 cases of testicular disease,16 cases（15.69%） were congenital dysplasia,dominated by cryptorchid（12.75%,13/102）;41 cases（40.20%） were inflammatory diseases,dominated by testicular torsion and necrosis（35.29%,36/102）;25 cases（24.51%） were benign tumor,dominated by mature teratoma（18.63%,19/102）and the other 20 cases（19.61%） were malignant tumor,which all were yolk sac tumor.Conclusion In pediatric testicular diseases,inflammatory diseases and congenital dysplasia are common,benign tumors occupy the higher proportion,and yolk sac tumor is the commonest malignant tumor.