原发性附睾肿瘤

目的提高对原发性附睾肿瘤的诊治水平。方法报告原发性附睾肿瘤２３例,良性２２例（９５．７％）,其中附睾腺样瘤１４例,平滑肌瘤６例,附睾多发纤维假瘤１例,硬化性血管瘤１例。恶性１例,为附睾腺癌。良性肿瘤作单纯肿瘤或患侧附睾切除。结果预后良好,１９例获随访,术后无复发。恶性肿瘤预后差,处理方法与睾丸恶性肿瘤相同。附睾肿瘤极易误诊为附睾结核、慢性附睾炎、精液囊肿等。结论良性肿瘤除具有一定良性表现特征外,采用Ｂ超及针吸细胞学检查,有助于术前对该病的诊断。恶性肿瘤生长迅速,往往侵及睾丸精索。

Primary epididymal tumors

Objective To improve the diagnosis of primary epididymal tumors. Method In 23 primary epididymal tumors (22 benign and 1 malignant),14 were adenomatoid tumors,6 were leiomyomas, 1 was multiple fibrous pseudomas and 1 was sclerosing hemangioma. Epididymal adenocarcinoma was seen in a 57 year old man. Result Epididymal tumors might be easily misdiagnosed as epididymal tuberculosis, chronic epididymis and spermaocele. Apart from certain benign clinical characteristics,benign epididymal tumors could be diagnosed by B ultrasonography and aspiration biopsy. Most malignant tumors of epididymis presented as rapidly growing scrotal masses and cured by the removal of tumors or the whole epididymis of the same side.19 of 22 cases were free from recurrence. Conclusion Malignant epididymal tumors should be treated as malignant tumors of testis and their prognosis is extremely poor.