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目的分析原发性附睾肿瘤的临床特点,提高原发性附睾肿瘤的临床诊断及治疗水平。方法回顾性分析我院收治的原发性附睾肿瘤患者20例的临床资料。附睾良性肿瘤患者15例,其中,有8例患者为附睾腺瘤样瘤,4例患者为附睾平滑肌瘤;附睾乳头状腺瘤患者、附睾纤维假瘤患者、附睾硬化性血管瘤患者各有1例;其中9例附睾良性肿瘤患者进行肿瘤切除术。有5例患者为附睾恶性肿瘤,其中,有3例患者为腺癌,2例患者为非霍奇金淋巴瘤,给予全部附睾恶性肿瘤患者睾丸附切除术,同时,还给予患者腹膜后淋巴结清扫结合治疗。结果治疗后,对13例附睾良性肿瘤进行追踪随访,没有1例患者复发;追踪随访全部附睾恶性肿瘤患者,获得良好的手术效果,恶性肿瘤患者预后差。结论附睾肿瘤临床诊断中,B超检查的诊断价值较高;大多数附睾肿瘤为良性,具有良好的手术治疗效果;一般来说,临床上附睾恶性肿瘤较少发,并且预后差;附睾肿瘤的首选治疗方法为手术治疗。
Objective To analyze the clinical features of primary epididymal tumors and to improve the clinical diagnosis and treatment of primary epididymal tumors. Methods The clinical data of 20 patients with primary epididymal tumor treated in our hospital were retrospectively analyzed. Epididymal benign tumors in 15 patients, of which 8 patients were epididymis adenoma, 4 patients were epididymoid leiomyoma; epididymal papilloma, epididymal fibrous pseudotumor patients, patients with epididymal sclerosing hemangioma each have 1 case; 9 cases of benign epididymal tumor patients underwent tumor resection. 5 patients were epididymal malignancies, of which 3 patients were adenocarcinoma, 2 patients were non-Hodgkin’s lymphoma, all patients with epididymal testes were given excision, but also given to patients with retroperitoneal lymph node dissection Combination therapy. Results After treatment, 13 cases of epididymal benign tumor were followed up and none of them recurred. Follow-up was performed on all patients with epididymal malignancies, and good results were obtained. The prognosis of patients with malignant tumors was poor. Conclusion In the clinical diagnosis of epididymal tumor, the diagnostic value of B-ultrasound is higher. Most of the epididymal tumors are benign and have good surgical treatment effect. Generally, there are fewer clinical malignant epididymal tumors and poor prognosis; epididymal tumor The preferred method of treatment for surgery.