小儿睾丸卵黄囊瘤误诊分析

Misdiagnostic Analysis of Children with Testicle Yolk Sac Tumors

目的 减少小儿睾丸卵黄囊瘤的误诊。方法 回顾一组 2 8例小儿睾丸卵黄囊瘤病例 ,分析其误诊情况。结果 1 9例曾误诊为睾丸炎、鞘膜积液、腹股沟斜疝、睾丸附睾结核等疾病 ,部分病例行睾丸肿块穿刺及按鞘膜积液行手术治疗。结论 为减少误诊必须提高对小儿睾丸卵黄囊瘤的认识 ,细致的体格检查 ,血清甲胎蛋白 (AFP)测定和超声检查对诊断有重要价值 ,但不可仅依据透光实验和 AFP结果就排除本病 ,必要时可手术探查 ;

Objective To reduce misdiagnosis in children with testicle yolk sac tumors.Methods Data of 28 children with testicle yolk sac tumors were analyzed retrospectively.Results 19 cases were misdiagnosed as testitis,hydrocele of tunica vaginalis,indirect inguinal hernia,tuberculosis of epididymis and testis.Some cases were performed with puncture biospy or operation as hydrocele of tunica vaginalis.Conclusions To reduce misdiagnosis and prevent incorrect treatment,doctors should improve understanding of testicle yolk tumors in children.Detailed physical examination, serum AFP examination and ultrasonography were of great value to the diagnosis.The diagnosis of testicle yolk tumor should not be denied only by result of transillumination or serum AFP examination.If necessary, operative exploration was recommended.Diagnostic puncture was not suitable to these patients.