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目的 :加强对原发性附睾肿瘤的认识 ,提高诊断和治疗水平。方法 :分析 18例附睾肿瘤的临床资料 ,其中 17例良性肿瘤中 12例行附睾肿瘤单纯切除术 ,5例行全附睾切除术 ;1例恶性肿瘤行根治性睾丸附睾切除术。结果 :术后随访 4个月～ 9年 ,良性肿瘤术后无复发 ,1例恶性肿瘤术后 13个月死于全身衰竭及广泛转移。结论 :诊断取决于病史、体检与B超检查 ,必要时辅以针刺活检 ,治疗主要为手术切除
Objective: To strengthen the understanding of primary epididymal tumor and improve the level of diagnosis and treatment. Methods: The clinical data of 18 cases of epididymal tumors were analyzed. Among them, 12 cases of benign tumors were treated with epididymal neoplasm only, 5 cases with complete epididymal resection and 1 case of malignant tumor with radical testicular epidural excision. Results: All patients were followed up for 4 months to 9 years. No recurrence of benign tumor was found after operation. One case of malignant tumor died of systemic failure and extensive metastasis at 13 months after operation. Conclusion: The diagnosis depends on the history, physical examination and B-ultrasound, if necessary, supplemented by needle biopsy, the treatment is mainly surgical resection