睾丸肿瘤42例临床分析

Clinical analysis of 42 patients with testicular tumor

目的提高睾丸肿瘤的诊治水平。方法回顾性分析42例睾丸肿瘤临床资料。结果术后病理诊断:原发性肿瘤34例,继发性肿瘤5例,睾丸旁肿瘤3例。在原发性肿瘤中,生殖细胞肿瘤33例,其中精原细胞瘤19例,非精原细胞瘤14例;非生殖细胞肿瘤1例。5例继发性肿瘤均为恶性淋巴瘤。双侧睾丸肿瘤5例。结论睾丸肿瘤多为生殖细胞肿瘤,生殖细胞肿瘤中精原细胞瘤最常见,良性肿瘤少见;注意自我体检,强化健康意识,利于睾丸肿瘤的早发现、早治疗,提高睾丸肿瘤预后。

Objective To improve the level of diagnosis and treatment of testicular tumor. Methods Clinical data of 42 patients with testicular tumor were retrospectively analyzed. Results Among all the patients, 34 cases were primary testicular tumor, and 5 cases secondary tumor, 3 cases para-testicular tumor. By postoperative pathological analysis, Among 34 cases of primary testicular tumor, 19 cases were diagnosed as seminoma germ cell tumor, and 1 case as non germ cell tumor. The others as non-seminoma germ cell tumor. All cases of the secondary tumor were diagnosed as malignant lymphoma. Four patients had bilateral testicular tumor. Conclusion Seminoma germ cell tumors are most frequent among the testicular tumors, and benign tumors are rare. Self-examination, awareness of heath should attract much more attention, which will be helpful for for early detection and diagnosis of testicular tumor.