成人睾丸良性肿瘤诊断与治疗——附3例报告

目的探讨成人睾丸良性肿瘤的诊断与治疗。方法回顾性分析我院10年间诊治的3例睾丸良性肿瘤患者的临床资料，包括病史、肿瘤标志物、B超、CT等影像学检查。结幕所有病例经腹股沟径路行根治性睾丸切除术。病理证实腺瘤样瘤一例，Leydig细胞瘤一例，微血管瘤一例，术后随访2个月～2年，均无复发或转移。结论睾丸良性肿瘤发病有增高趋势，但术前明确诊断较难，需引起足够的重视。对于可疑病例难应积极行术中冰冻切片，一旦确诊可行保留丸的保守手术。

Diagnosis and treatment of benign testis neoplasm (a report of three cases)

Objective To study the diagnosis and treatment of adult benign testis neoplasms. Methods The clinical data of three cases of benign testicular neoplasms was retrospectively reviewed our hospital in the ten years , including medical history, tumor markers, ultrasonography, and CT. Results Radical orchiectomy by inguinal approach was performed in 3 patients. Pathologic examination approved that one case was adenomatoid tumor, another was leydig cell tumor, the last one was hemangioma. There was no relapse or metastasis after a median follow-up of 11 months（range 2 months-2 years）. Conclusion There is increased trend of benign testicular neoplasms, but preoperative diagnosis is rather difficult, where we should pay more attention. If the diagnosis of benign was suspected, the intraoperative frozen section should be actively performed for the patient, and then the conservative surgery of sparing testis is available once confirmed.