摘要
目的提高老年男性睾丸及附睾肿块的诊治水平。方法对27例老年男性睾丸及附睾肿块临床资料进行分析。结果经手术和病理诊断,结核及炎症21例,睾丸肿瘤4例,附睾肿瘤2例。5例恶性肿瘤术后接受综合治疗(化疗、放疗)。术后随访7个月～3年,22例良性病变者预后好:恶性肿瘤患者1例死于术后8个月,余4例经综合治疗已无瘤生存13～20个月。结论老年患者睾丸及附睾肿物中附睾结核常见。术前彩色B超、CT有助于明确诊断。对恶性肿瘤患者应尽早根治性切除术,并积极采取术后综合治疗。
Objective To improve the diagnosis and treatment of geriatric testis and epididymis tumor, Methods The clinical data of 27 cases of geriatric testis and epididymis tumor were analyzed. Results As indicated by operation and pathologic diagnosis, there were 21 cases of tuberculosis and non-specific epididymis imflammation of testis and epididymis; 4 cases of testis neoplasms; 2 case of epididymis neoplasms. 5 cases received combined therapy （chemotherapy, radiotherapy） after operation. Survival state： After a follow-up visit between 7 months and 3 years, 22 cases with benign neoplasms had fine prognosis; 4 cases of testis and epididymis neoplasms have survived for 13-20 months after combined therapy; 1 case of epididymis mutinous adenocarcinoma died of abdominal metastasis after 8 months, Conclusion Tuberculosis of epididymis is common in geriatric testis and epididymis neoplasms. Preoperative ultrasonography and pelvic, post-peritoneal CT scanning would be helpful for the establishing the diagnosis; positive combined therapy should be carried out in cases of malignant tumor after early radical orchectomy.
出处
《中国男科学杂志》
CAS
CSCD
2006年第12期22-24,共3页
Chinese Journal of Andrology
关键词
老年人
睾丸
附睾
肿块
aged
testis
epididymis
tumor
