原发性附睾恶性肿瘤1例报告并文献复习

Primary Epididymal Malignant Tumor (a Case Report and Review Literature)

目的:提高原发性附睾恶性肿瘤的诊治水平,探讨原发性附睾恶性肿瘤的组织化学特性、诊治方法及预后。方法:回顾性分析我院收治的1例原发性附睾胚胎性癌患者的发病诊治过程的临床资料并结合文献进行复习。结果:对患者行根治性右侧睾丸、附睾切除术。术后病理回报:附睾、睾丸胚胎性癌,精索未见明显侵犯。术后1年,随诊复查未见异常,至今无复发。结论:附睾恶性肿瘤无特异性,其诊断应综合病史、体检、影象学检查及术中、术后病理确定。手术是治疗附睾肿瘤的首选方法。

Objective： To improve the diagnosis and treatment of primary epididyrnal carcinoma, and to evaluate its clinical features diagnosis treatment and prognosis. Methods： The clinical data of one case of the primary epididyrnal embryonal carcinoma was analyzed retrospectively and reported, then relevant literature was reviewed. Results： The malignant tumor patient underwent radical orchiectomy and epididymectomy. The final pathological report was testicular and epididymal embryonal carcinoma, the spermatic cord was not in- vaded. The patient was followed up with poor prognosis in time of lyear post-operation. Conclusions： The histogenesis of primary epi- didymal malignant tumor is unclear yet. The diagnosis is depends on combination of history, physical examination and pathologic studies. Radical surgery is the main treatment choice.