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目的探讨附睾乳头状囊腺瘤(部分区域交界性)的临床病理特点。方法观察1例附睾乳头状囊腺瘤(部分区域交界性)的组织学,并复习相关文献。结果患者男性,70岁。左侧阴囊内(附睾处)无痛性肿块3个月。无von Hippel-Lindau综合征。附睾乳头状囊腺瘤(部分区域交界性)有3种基本结构:1排列呈乳头状结构,有纤维血管轴心,被覆两种类型细胞,乳头外层是胞质透明正常核的柱状上皮细胞,乳头内层是胞质嗜酸性核异常的立方上皮细胞。2扩张的导管和微囊有类似乳头的上皮细胞被覆。3纤维性间质有炎细胞浸润。术后随访5年内复发。结论附睾乳头状囊腺瘤(部分区域交界性)罕见,单纯切除可复发,确诊依赖病理学检查。
Objective To investigate the clinicopathological features of epididymal papilloma (borderline region). Methods One case of papillary cystadenoma of the epididymis (part of regional borderline) histology was reviewed and relevant literature was reviewed. Results The patient was male, 70 years old. Left scrotum (epididymal Department) painless mass 3 months. No von Hippel-Lindau syndrome. Epididymal papillary cystadenoma (part of the regional borderline) There are three basic structures: 1 arrangement was papillary structure, a fiber axis, covering two types of cells, the outer layer of the nipple transparent cytoplasm of the normal nuclear columnar epithelial cells , Nipple inner cytoplasmic eosinophilic nuclear abnormal cubic epithelial cells. 2 Dilated catheters and microcapsules have nipple-like epithelium covered. 3 fibrous interstitial inflammatory cell infiltration. Follow-up within 5 years after the recurrence. Conclusions Epididymis papillary cystadenoma (some regional borderline) rare, simple resection can be relapsed, the diagnosis depends on pathological examination.