Department of Radiology, University Hospital North Staffordshire NHS Trust, City General, Stoke-on-trent, Staffordshire, United Kingdom.
Urology. 2010 Mar;75(3):687-90. doi: 10.1016/j.urology.2009.05.067. Epub 2009 Aug 5.
Cystic dysplasia of the rete testis (CDT) is a rare benign testicular tumor. We present the second case of spontaneous regression in a 9-year-old boy and summarize the findings of 48 cases in published reports. The most common presentation is scrotal and/or testicular swelling. Common associated renal tract anomalies include ipsilateral renal agenesis and multicystic dysplastic kidney. In 13% of patients, no associated renal anomalies were observed. Orchidectomy was performed in 65% of patients (n = 31) and testicular-sparing surgery, that is, enucleation in 15% (n = 8). In 5 of these 8 patients, recurrence was noted. In a further 12% of patients (n = 5), cystic dysplasia of the rete testis was treated with surveillance. At present, there is no clear consensus on treatment. The conservative approach of "watch and wait" may be supported by this case of spontaneous regression.
睾丸网囊性发育不良（CDT）是一种罕见的良性睾丸肿瘤。我们报告了一例 9 岁男孩的自发性消退，并总结了已发表的 48 例病例的发现。最常见的表现是阴囊和/或睾丸肿胀。常见的相关肾脏异常包括同侧肾发育不全和多囊性发育不良肾。在 13%的患者中，未观察到相关的肾脏异常。65%的患者（n=31）接受了睾丸切除术，15%的患者（n=8）接受了保留睾丸的手术，即切除术。在这 8 名患者中的 5 名中，注意到了复发。在进一步的 12%的患者（n=5）中，采用了观察方法来治疗睾丸网囊性发育不良。目前，治疗方法尚无明确共识。这种自发性消退的病例可能支持保守的“观察和等待”方法。
