Bul Meelan, Roemeling Stijn, Zeegers A G M, Oostenbroek Rob J
Academisch Medisch Centrum/Universiteit van Amsterdam, afd. Heelkunde, Amsterdam.
Ned Tijdschr Geneeskd. 2009 May 16;153(20):980-3.
Congenital undescended testis (UDT) is a common congenital anomaly among males. Since ectopic position of the testis is considered a risk factor for the development of testicular cancer and infertility, early diagnosis and treatment are essential. Careful physical examination after birth should indicate those patients with UDT who must be followed up for possible orchiopexy at an early age. Treatment consists of performing orchiopexy at the age of 6-12 months to reduce the risk of malignancy and/or infertility. Despite the necessity of treating UDT, isolated cases of intra-abdominal seminoma are found. In patients with abdominal complaints and UDT, the possibility of problems due to this condition must be considered. In the present case, a patient with an intra-abdominal seminoma in the presence of unilateral UDT is presented.
先天性隐睾（UDT）是男性常见的先天性异常。由于睾丸异位被认为是睾丸癌和不育症发生的危险因素，因此早期诊断和治疗至关重要。出生后仔细的体格检查应能确定那些患有UDT且必须在幼年时进行随访以便可能进行睾丸固定术的患者。治疗包括在6至12个月大时进行睾丸固定术，以降低恶性肿瘤和/或不育症的风险。尽管治疗UDT很有必要，但仍发现了孤立的腹腔内精原细胞瘤病例。对于有腹部不适和UDT的患者，必须考虑这种情况导致问题的可能性。在本病例中，介绍了一名单侧UDT患者伴有腹腔内精原细胞瘤的情况。
