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[睾丸良性占位性囊肿。综述]

[Benign space-occupying cysts in the testis. An overview].

作者信息

Bonkat G, Ruszat R, Forster T, Wyler S, Dogra V S, Bachmann A

机构信息

Urologische Klinik, Universitätsspital Basel, Spitalstrasse 21, Basel, Switzerland.

出版信息

Urologe A. 2007 Dec;46(12):1697-703. doi: 10.1007/s00120-007-1555-7.

Abstract

Testicular cysts are increasingly diagnosed in the course of scrotal ultrasound examination. Among other things this is due to the general availability of modern high-resolution ultrasound devices. Benign and malignant diseases with testicular cyst formation need to be differentiated by differential diagnosis and by their aetiology. Benign diseases with cystic space-occupying lesions of the testicle are tubular ectasia of the rete testis, cystic dysplasia, epidermoid cysts, simple intraparenchymatous testicular cysts and cysts of the tunica albuginea. Testicular dermoid cyst was long misleadingly regarded as potentially malignant, but is now classified as benign. On diagnosis of a benign lesion of the testis an organ-conserving surgical therapy or an observational watch-and-wait strategy can be recommended in most cases.

摘要

在阴囊超声检查过程中,睾丸囊肿的诊断越来越多。这在一定程度上归因于现代高分辨率超声设备的广泛普及。需要通过鉴别诊断及其病因来区分伴有睾丸囊肿形成的良性和恶性疾病。睾丸具有囊性占位性病变的良性疾病包括睾丸网管状扩张、囊性发育异常、表皮样囊肿、单纯实质内睾丸囊肿和白膜囊肿。睾丸皮样囊肿长期以来一直被错误地认为有潜在恶性可能,但现在被归类为良性。在诊断为睾丸良性病变时,大多数情况下可推荐保留器官的手术治疗或观察等待策略。

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