附睾肿块的诊断和处理

Diagnosis and Management of Epididymal Mass

目的 :探讨附睾肿块的病因及临床特点。 方法 :6 0例附睾肿块病人手术治疗并进行了病理学检查。 结果 :附睾慢性炎症 15例、结核 13例、囊肿 15例、精子性肉芽肿 14例、梭形细胞型横纹肌肉瘤、腺样瘤及乳头状囊腺瘤各 1例 ,手术效果良好。 结论 :附睾的恶性肿瘤少见。附睾肿块的诊断以临床表现、体检和病理检查为主 ,手术仍是有效的治疗方法。

objectives: To analyse the etiological and clinical features of the mass of epididymis. Methods: 60 patients undergone surgical treatment and pathological examinations were reviewed. Results: 15 patients with chronic epididymitis, 13 with tuberculosis of epididymis, 15 with cyst of epididymis, 14 with spermatic granuloma, and other three patients with spindle cell type rhabdomyosarcoma, adenoid tumor, papilloadenocystoma were reported and good results achieved. Conclusions: The malignant tumors of epididymis are seldom seen. The diagnosis of mass of epididymis mainly depends on the clinical manifestations, physical examination and pathological examination. The surgery is still an effective treatment.