[青春期后睾丸未降的患者是否有必要进行睾丸切除术？]
[Is necessary to practice orchiectomy in patients with post-puberal maldescended testes?].
作者信息
Granados Loarca E A, Esau Ortega S
机构信息
Servicio de Urología, Hospital General de Enfermedades Zona 9, Instituto Guatemalteco de Seguridad Social, Guatemala.
出版信息
Actas Urol Esp. 2005 Nov-Dec;29(10):969-73. doi: 10.1016/s0210-4806(05)73378-7.
OBJECTIVE
The cryptorchidism is a risk factor for testicular cancer and is associated with cancer in the contraleteral testicle. The mechanism that leads to an increased risk of causes in a cryptorchid testis is unclear.
MATERIALS AND METHODS
We analyzed 25 patients of 20-years old for maldescended testicles we practiced orchiectomy in 22 testicles and orchiopexy in 7 testicles. The time patients had the testicles in an anomalous location were between 20-51 years.
RESULTS
The elder patients with maldescends testicles came because the couldn't feel the testicle in the scrotum and the 16% of them because of infertility. Only 1 of 25 cases (4%) were demonstrated cancer with pure seminoma.
CONCLUSIONS
In the following up of the patients none of them presented contralateral testicle cancer between 5-10 years. The patients who were practiced the orchiopexy no-one presented testicular cancer between 5-11 years.
目的
隐睾是睾丸癌的一个危险因素，且与对侧睾丸发生癌症有关。导致隐睾发生癌变风险增加的机制尚不清楚。
材料与方法
我们分析了25例20岁的隐睾患者，对22个睾丸实施了睾丸切除术，对7个睾丸实施了睾丸固定术。患者睾丸处于异常位置的时间为20至51岁。
结果
年龄较大的隐睾患者前来就医是因为他们在阴囊内摸不到睾丸，其中16%是因为不育。25例中仅有1例（4%）被诊断为纯精原细胞瘤癌症。
结论
在对患者的随访中，5至10年间无一例出现对侧睾丸癌。接受睾丸固定术的患者在5至11年间无人出现睾丸癌。
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