原发性附睾肿瘤(附32例报告)

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。

Primary epididymal tumor (a report of 32 cases)

Objective To study the diagnosis and treatment of primary epididymal tumor. Methods Clinicaldata of 32 cases with primary epididymal tumor were reviewed. Results Diagnosis in 30 cases were diagnosed asbenign tumors by the histopathological examination and 2 cases as malignant tumors.All the patients underwent surgicaltreatment. Of the 32 cases, tumor excision, epididymectomy, simple orchidoepididymectomy and radicalorchidoepididymectomy with retroperitoneal lymph node dissection were used in 16, 11, 3 and 2 patients respectively.Conclusions Primary epididymal tumor is difficult to get difinite diagnosis preoperativly. Surgical exploration is thefirst-chioce for this disorder.If the tumor is benign, excision of the tumor or epididymectomy is enough.When histo-pathological diagnosis show malignant, radical orchidoepididymectomy with retroperitoneal lymph node dissectionshould be taken.