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成人阴囊内睾丸外肿物临床经验15例并文献复习

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目的 探讨成人阴囊内睾丸外肿物的临床特点、治疗方式、病理类型及预后。方法 回顾性分析2014年1月至2022年6月首都医科大学附属北京朝阳医院收治的15例阴囊内睾丸外肿物患者的临床资料,记录其临床特点、影像诊断、手术情况、病理及随访结果。结果 15例患者主要临床表现为无痛性阴囊肿大。所有患者均完成手术治疗,术后病理多样,主要涉及脂肪肉瘤、孤立性纤维瘤等。术后平均随访37个月,复发1例。结论 成人阴囊内睾丸外肿物是一类少见疾病,患者常以阴囊内肿物为主诉,其影像学表现多样,临床治疗以手术切除为主,术后病理类型多样,预后较好,临床诊治具有挑战性。
Clinical experience of 15 cases of paratesticular tumors in adult and literature review
Objective To discuss the clinical characteristics,treatment methods,pathological types and prognosis of paratesticular tumors in adults.Methods A retrospective analysis of clinical data from 15 patients with paratesticular tumors admitted to Beijing Chaoyang Hospital,Capital Medical University,from January 2014 to June 2022 was conducted.The patients'clinical characteristics,imaging diagnosis,surgical condition,pathology,and follow-up results were recorded.Results The main clinical manifestation of these 15 patients was painless scrotum enlargement.All patients underwent surgical treatment,and postoperative pathology was diverse,mainly involving liposarcoma and solitary fibrous tumor.After an average follow-up of 37 months,1 patient experienced disease recurrence.Conclusions Paratesticular tumor of adults is a rare disease.The chief complaint is often the mass in the scrotum.The imaging findings are diverse.The main clinical treatment is surgical resection.Postoperative pathology results can vary.The prognosis of paratesticular tumor is generally good,but the clinical diagnosis and management pose challenges.

ScrotumLiposarcomaSolitary fibrous tumorsAngiofibroblastomaEpidermal cyst

钱小松、雷洪恩、李家兴、田龙、韩虎

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首都医科大学附属北京朝阳医院泌尿外科,北京 100020

阴囊 脂肪肉瘤 孤立性纤维瘤 血管成纤维母细胞瘤 表皮样囊肿

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(12)