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成人隐睾恶变一般根据有隐睾症史,检查患侧阴囊无睾丸,隐睾部位肿块质地坚硬等特点可作出诊断。但若忽略病史和缺乏详细的体检,仍易误诊。我院1985年～1990年误诊本病患者6例,其中门诊误诊4例(66.7%),术前误诊2例(33.3%)。现将其误诊原因分析如下。1 临床资料患者6例,年龄30～43岁,均已婚已育。病史1～12个月。隐睾部位均触及肿块,右侧4例,左侧2例。腹腔4例,腹股沟2例。肿瘤直径为4～16cm。腹膜后淋巴结转移4例,肿瘤破裂出血1例。病理报告均为精原细胞瘤。4例门诊分别误诊为腹腔肿瘤、肾肿瘤、肠梗阻、肝癌破裂;2例术前分别误诊为腹腔肿瘤、肝癌
Cryptorchidism in adults generally based on the history of cryptorchidism, check the affected side of the scrotum no testis, cryptorchidism parts of the hard texture of the mass can make a diagnosis. However, if you ignore the history and the lack of a detailed medical examination, is still misdiagnosed. In our hospital from 1985 to 1990, 6 patients were misdiagnosed as the disease, including 4 misdiagnosed clinics (66.7%) and 2 misdiagnosed patients (33.3%). The reason for the misdiagnosis is as follows now. 1 clinical data of 6 patients, aged 30 to 43 years old, both married and educated. A history of 1 to 12 months. Cryptorchidism parts are touched mass, the right side in 4 cases, left side in 2 cases. 4 cases of abdominal cavity, groin in 2 cases. Tumor diameter of 4 ~ 16cm. Retroperitoneal lymph node metastasis in 4 cases, 1 case of tumor rupture. Pathological reports are seminoma. Four patients were misdiagnosed as abdominal tumor, kidney tumor, intestinal obstruction and liver cancer respectively. Two cases were misdiagnosed as peritoneal tumor, liver cancer