睾丸表皮样囊肿5例报道并文献复习

Report of five cases of testicular epidermoid cyst and review of the literature

目的分析睾丸表皮样囊肿(testicular epidermoid cyst,TEC)的临床特点及诊治经验。方法对1998年3月至2018年4月我院收治的5例TEC患者的临床特点及治疗方案进行回顾性分析,并结合相关文献复习。结果2例患者无症状,为查体时发现;1例伴阴囊坠胀不适;2例表现为患侧睾丸疼痛,且以钝痛为主。4例行保留睾丸的肿物切除术,术中均行冰冻病理检查,都提示为TEC,1例因肿瘤较大而保留睾丸困难故行经腹股沟根治性睾丸切除术。术后随访1个月至20年,均无肿瘤复发及转移。结论TEC是少见的睾丸良性肿瘤,病理是诊断TEC的金标准。推荐保留睾丸的单纯肿物剜除术作为主要的治疗方式。

Objective To analyze the clinical features,diagnosis and treatment experience of testicular epidermoid cyst(TEC).Methods The clinical features and treatment options of 5 patients with TEC admitted to our hospital from March 1998 to April 2018 were retrospectively reviewed and reviewed with relevant literature.Results Two patients had no symptoms,which were found during physical examination.One patient had discomfort with scrotal bulge;two patients had pain on the affected side of the testis and were mainly dull.Four patients underwent resection of the testicular tumor,and all patients underwent frozen pathological examination,suggesting TEC.One patient who had difficulty in repairing the testis due to a large tumor underwent radical inguinal radical orchiectomy.There was no tumor recurrence and metastasis after 1 to 20 years of follow-up.Conclusion TEC is a rare benign tumor of the testis,and pathology is the gold standard for the diagnosis of TEC.It is recommended to preserve the testicular simple mass removal as the main treatment.