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目的 为了提高对原发性附睾肿瘤的认识。方法 回顾性总结已治疗的32例原发性附睾肿瘤。结果 其中良性30例,恶性2例,行肿瘤切除16例,附睾切除11例,患侧睾丸附睾切除3例,患侧根治性切除加腹膜后淋巴清除术2例。术前确诊仅为11例,余均经手术后病理确诊。结论 原发性附睾肿瘤术前明确诊断困难,治疗有怀疑附睾肿瘤者应首选手术探查,良性者可行肿瘤或附睾切除,如为恶性则需行根治性睾丸切除加腹膜后淋巴清除术。
Objective To improve the understanding of primary epididymal tumors. Methods A retrospective review of 32 cases of primary epididymitis has been treated. Results Among them, 30 cases were benign, 2 cases were malignant, 16 cases were resected by tumor, 11 cases were treated by epididymal resection, 3 cases were epididymal resection in ipsilateral testis, 2 cases were treated by radical resection plus retroperitoneal lymphadenectomy. Preoperative diagnosis was only 11 cases, more than the pathological diagnosis after surgery. Conclusions The diagnosis of primary epididymal tumor is difficult to diagnose before surgery. Surgical treatment of suspected epididymal tumors should be the first choice for surgical exploration. Tumor resection or epididymis excision should be performed in patients with malignant tumors. Radical orchidectomy and retroperitoneal lymphadenectomy should be performed.