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原发性附睾肿瘤比较少见。我院自1975年1月至1994年5月收治9例。其中良性肿瘤8例,恶性肿瘤1例,报告如下。 1 临床资料本组年龄28～56岁,平均40.9岁。主要症状为阴囊内肿块。体检:肿瘤位于左侧5例,右侧3例,双侧1例。位于附睾头部1例,尾部8例。良性肿瘤呈圆形或卵圆形,表面光滑,质地坚韧。肿瘤直径0.8cm1例,1～2cm5例,3cm2例。恶性肿瘤1例,肿块3cm×2cm×2cm大小,表面结节感,质硬轻压痛。手术方式与病理:附睾切除术8例(其中1例为双侧附睾切除术),睾丸附睾切除术1例。病理报告:腺样瘤3例,平滑肌瘤4例,海绵状血管瘤1例,腺癌1例。
Primary epididymal tumors are relatively rare. Our hospital from January 1975 to May 1994, 9 cases were admitted. Of which 8 cases of benign tumors, 1 case of malignant tumors, the report is as follows. 1 Clinical data The group aged 28 to 56 years, mean 40.9 years old. The main symptoms of scrotal mass. Physical examination: The tumor was located on the left side in 5 cases, right side in 3 cases and bilateral on one side. Located in the epididymal head in 1 case, the tail in 8 cases. Benign tumors were round or oval, smooth surface, tough texture. Tumor diameter 0.8cm1 cases, 1 ~ 2cm5 cases, 3cm2 cases. 1 case of malignant tumor, tumor size of 3cm × 2cm × 2cm, surface nodules, hard and light tenderness. Surgical methods and pathology: epididymal excision in 8 cases (1 case of bilateral epididymal excision), testicular epididymal resection in 1 case. Pathological report: adenomatous tumor in 3 cases, 4 cases of leiomyoma, cavernous hemangioma in 1 case, adenocarcinoma in 1 case.