Jelloul L, Billerey C, Ait Ali Slimane M, Mboyo A, Aubert D
Service de Chirurgie Pédiatrique, Hôpital Saint-Jacques, Besançon.
Ann Urol (Paris). 1999;33(2):104-8.
Epididymal tumours are uncommon in children and adolescents and are usually benign. Epididymal cyst is exceptionally reported in the literature, although it is certainly underdiagnosed. The authors report 3 cases of epididymal cyst in 3 children, 12, 14 and 16 years of age. These children presented with an uncomfortable scrotal mass and were treated by excision of the cyst in every case. The aetiology of epididymal cysts is unclear. It is probably a congenital abnormality related to hormonal disorders during embryonic life. Physical examination is very important, but not sufficient for the diagnosis and must be completed by scrotal ultrasonography, which shows an echo-free cystic epididymal structure. Despite ultrasonography, the differential diagnosis of other scrotal cystic masses and even some solid epididymal tumours, which may present all of the sonographic characteristics of a cyst, must be considered. The treatment of symptomatic epididymal cyst in children must be surgical. For asymptomatic cysts diagnosed by sonography, clinical follow-up to document stability of the mass is justified.
附睾肿瘤在儿童和青少年中并不常见，通常为良性。附睾囊肿在文献中报道极少，尽管其肯定存在诊断不足的情况。作者报告了3例分别为12岁、14岁和16岁儿童的附睾囊肿病例。这些儿童均表现为阴囊肿物伴不适，每例均通过囊肿切除术进行治疗。附睾囊肿的病因尚不清楚。它可能是一种与胚胎期激素紊乱相关的先天性异常。体格检查非常重要，但对于诊断并不充分，必须通过阴囊超声检查来完善，超声检查显示附睾为无回声的囊性结构。尽管有超声检查，但仍必须考虑与其他阴囊囊性肿物甚至一些实性附睾肿瘤进行鉴别诊断，因为这些肿瘤可能呈现出囊肿的所有超声特征。儿童有症状的附睾囊肿的治疗必须采取手术方式。对于通过超声检查诊断出的无症状囊肿，进行临床随访以记录肿物的稳定性是合理的。
