临床小儿外科杂志2012，Vol.11Issue(2)：97-99,3.DOI:10.3969/j.issn.1671-6353.2012.02.006
保留睾丸的肿瘤切除术治疗小儿良性睾丸肿瘤
Testis-sparing surgery for benign testicular tumors in children
陈艳 1屈彦超 1张潍平 1孙宁 1白继武 1田军 1黄澄如1
作者信息
- 1. 首都医科大学附属北京儿童医院外科 北京市,100045
- 折叠
摘要
Abstract
Objective To summarize the curative effect of testis-sparing surgery in43 children with benign testicular tumors. Methods The clinical data of 43 children of benign testicular tumors from December 2003 to December 2009 in our hospital were retrospectively analyzed. Their age was range from 5 months to 13 years, mean 4 years 7 months, of 43 cases, 28 cases (65% ) were in left side, 14 cases (33% ) were in right side and 1(2%) in bilateral testis. Most of the pediatric patients presented with a painless scrota] mass or heavy sensibility of scortum. Preoperan've ultrasound revealed teratomas or epidermoid cysts, and of all cases, 39 cases with normal a-fetoprotein (AFP) level while 4 cases (age 5,6,7,10 months) with increased AFP (normal0-20 ug/mL). The surgery was via an scrotal incision(35cases) or an inguinal incision(8cases). An incision was made in the tunica albuginea and the mass was enucleated. Then we closed the remaining portion of the testis. We did follow-up 5 months to 88 months, mean 33 months after surgery. Results All of 43 cases were treated by testis-sparing surgery, and the encapsulation of tumor were completely. Among the 43 cases, there were 27(63% ) mature testicular teratomas, 2(5% ) immature testicular teratomas, 12(28% ) epidermoid cysts, 2(5% ) testicular simple cysts. 40 cases were followed up and without metastic or local recur- . _ rence. Conclusion Ultrasonography and AFP measurement are effective methods for differentiating malignant and benign testicular tumors before surgery. Testis-sparing surgery is positive method in the management of be- . nign testicular tumors in children and with well prognosis.关键词
睾丸肿瘤/外科学/治疗结果/儿童Key words
Testicular Neoplasms/SU/Treatment Outcome/Child引用本文复制引用
陈艳,屈彦超,张潍平,孙宁,白继武,田军,黄澄如..保留睾丸的肿瘤切除术治疗小儿良性睾丸肿瘤[J].临床小儿外科杂志,2012,11(2):97-99,3.
