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目的:探讨睾丸间质细胞瘤的临床病理特点及诊疗方法。方法:分析并总结3例睾丸间质细胞瘤患者的临床病理资料并文献复习。结果:1例术中冰冻切片诊断为睾丸间质细胞瘤,2例术前细针穿刺病理诊断为睾丸间质细胞瘤,病理组织学表现为瘤细胞呈团、条索或弥漫分布,体积较大,呈多角形胞质丰富嗜酸性,边界清楚。2例患者行单侧睾丸切除,1例行睾丸肿瘤剜除术,术后分别随访24、15、10个月未见复发。结论:睾丸间质细胞瘤发病率低,临床表现缺乏特异性,易误诊,确诊需依赖病理组织学检查,细针穿刺病理可明确诊断并有助于手术的选择及手术范围的确定。
Objective: To explore the clinicopathological features and diagnosis and treatment of testicular stromal tumor. Methods: The clinical and pathological data and literature review of 3 cases of testicular stromal tumor were analyzed and summarized. Results: One case of intraoperative frozen section was diagnosed as testicular stromal tumor. Two cases of preoperative fine needle aspiration were diagnosed as testicular stromal tumor. The histopathological examination showed that the tumor cells were in clusters, cords or diffuse distribution, Large, polygonal cytoplasm rich acidophilic, clear boundary. Two patients underwent unilateral orchidectomy, 1 patient underwent testicular tumor resection, and were followed up for 24, 15 and 10 months respectively. Conclusions: The low incidence of testicular stromal tumor and the lack of specificity of its clinical manifestations are easily misdiagnosed. The diagnosis depends on histopathological examination. The pathological diagnosis of fine needle aspiration can help confirm the choice of surgical procedure and scope of operation.