Athwal Sharan, Tailor Jignesh, Lakhoo Kokila
Department of Paediatric Surgery, John Radcliffe Hospital, Headington, Oxford, OX3 9DU, UK.
J Med Case Rep. 2008 Jul 25;2:247. doi: 10.1186/1752-1947-2-247.
Polyorchidism is defined as the presence of more than two testes. The management of this rare condition is still debatable, particularly when it is an incidental finding at surgery.
We present the case of an 8-year-old boy with triorchidism found incidentally during an elective orchidopexy. This supernumerary, ectopic and atrophic testis was removed to avoid an increased risk of malignancy.
Risk of malignancy justifies the removal of an atrophic and ectopic testis in triorchidism. However, it would appear safe to preserve a viable intrascrotal supernumerary testis found incidentally at surgery provided that the patient is followed up in the long term.
多睾症定义为睾丸数目超过两个。这种罕见病症的治疗仍存在争议,尤其是在手术中偶然发现时。
我们报告一例8岁男孩,在择期睾丸固定术中偶然发现患有三睾症。切除了这个多余、异位且萎缩的睾丸,以避免恶性肿瘤风险增加。
恶性肿瘤风险证明在三睾症中切除萎缩和异位睾丸是合理的。然而,如果对患者进行长期随访,那么在手术中偶然发现的存活于阴囊内的多余睾丸似乎可以安全保留。