Department of Surgical Oncology, Chittaranjan National Cancer Institute, Kolkata, India.
Andrologia. 2011 Apr;43(2):149-52. doi: 10.1111/j.1439-0272.2009.01026.x. Epub 2010 Dec 29.
Polyorchidism is a rare congenital anomaly. Approximately 100 cases have been published to date. We report a case of triorchidism in a 20-year-old man who presented to us with inguinal hernia. There is more than 30% incidence of histological abnormalities in polyorchid testes and 4-7% present with malignancy. The management of polyorchidism is controversial. Some authors prefer conservative approach to increase the chances of spermatogenesis and others suggest excision to prevent malignancy. In our case, a biopsy of the testes was performed and was found to be normal. This patient was placed on follow-up with regular self examination, six monthly clinical examination and yearly scrotal sonogram.
多睾症是一种罕见的先天性异常。迄今为止，已有约 100 例病例报道。我们报告了一例 20 岁男性多睾症病例，该患者因腹股沟疝就诊。多睾症睾丸组织学异常的发生率超过 30%，4-7%存在恶性肿瘤。多睾症的治疗存在争议。一些作者倾向于保守治疗以增加生精的机会，而另一些作者则建议切除以预防恶性肿瘤。在我们的病例中，对睾丸进行了活检，结果正常。该患者接受了随访，包括定期自我检查、每六个月进行一次临床检查和每年进行一次阴囊超声检查。
