Homayoon Kaveh, Suhre Chris D, Steinhardt George F
Department of Surgery, St Louis University, Cardinal Glennon Children's Hospital, St Louis, Missouri, USA.
J Urol. 2004 Mar;171(3):1274-6. doi: 10.1097/01.ju.0000110322.87053.99.
We reviewed the outcome of conservative management of epididymal cyst in children at our institution.
We retrospectively reviewed the records of all patients with epididymal cyst from 1991 to 2002. Age and mode of presentation as well as time to complete involution of the cysts were studied. Diagnosis of epididymal cyst was confirmed by scrotal ultrasound in all cases.
A total of 20 patients were identified with epididymal cyst. Average patient age at presentation was 10.5 years. Fifteen patients presented with scrotal mass and 4 with scrotal pain. Cysts were between 3 and 30 mm. Only 1 patient required surgical excision due to persistent pain. Epididymal cysts resolved in 10 patients who completed followup. Average time to complete regression was 17 months. None of our patients had a history of exposure to diethylstilbestrol, cryptorchidism, cystic fibrosis or von Hippel-Lindau disease.
Our findings imply that most epididymal cysts involute with time.
我们回顾了我院对小儿附睾囊肿进行保守治疗的结果。
我们回顾性分析了1991年至2002年期间所有附睾囊肿患者的病历。研究了患者的年龄、临床表现方式以及囊肿完全消退的时间。所有病例均通过阴囊超声确诊为附睾囊肿。
共确定20例附睾囊肿患者。患者就诊时的平均年龄为10.5岁。15例患者表现为阴囊肿块，4例表现为阴囊疼痛。囊肿大小在3至30毫米之间。仅1例患者因持续性疼痛需要手术切除。10例完成随访的患者附睾囊肿消退。囊肿完全消退的平均时间为17个月。我们的患者均无己烯雌酚暴露史、隐睾症、囊性纤维化或冯·希佩尔－林道病病史。
我们的研究结果表明，大多数附睾囊肿会随时间自行消退。
