Department of Pediatric Surgery, Dr. Behcet Uz Children's Hospital, Izmir, Turkey.
J Pediatr Surg. 2013 Oct;48(10):2153-6. doi: 10.1016/j.jpedsurg.2013.01.058.
A retrospective review was carried out to evaluate the clinical presentation of children with epididymal cysts (EC) and outcome of management at our institution.
There were 49 patients with EC in this series. The diagnosis of EC was made by physical examination and confirmed by ultrasound (US).
The average age at presentation was 10.7 years (2 months-16 years). Scrotal mass (n: 22) and pain (n: 21) were the most frequent symptoms. Seven patients were lost to follow-up. The cysts were solitary in 32 patients and multiple in 10 patients. The mean value of cysts was 6.7 mm (2-20 mm). The cyst localisations were 22 in left, 16 in right, and bilateral in 4 patients. Complete involution of cysts was detected in 14 children. The average involution time was 11.2 months (1-37 months). In 20 cases, a decrease in cyst size was found. Cyst excision was performed in 8 patients with persistent scrotal pain or no cyst involution observed during follow-up.
Conservative management of epididymal cysts is practical. However, surgical excision is recommended in patients with intractable scrotal pain or if the cyst size does not seem to involute.
本回顾性研究旨在评估我院就诊的附睾囊肿（EC）患儿的临床表现及治疗结局。
本研究共纳入 49 例 EC 患儿。通过体格检查和超声（US）检查确诊。
患儿平均就诊年龄为 10.7 岁（2 个月-16 岁）。最常见的症状为阴囊肿块（n：22）和疼痛（n：21）。7 例患儿失访。囊肿单发 32 例，多发 10 例。囊肿平均大小为 6.7mm（2-20mm）。囊肿位于左侧 22 例，右侧 16 例，双侧 4 例。14 例患儿囊肿完全消退。平均消退时间为 11.2 个月（1-37 个月）。20 例患儿囊肿体积减小。8 例患儿因持续性阴囊疼痛或随访中囊肿未消退而行囊肿切除术。
附睾囊肿可行保守治疗。但对于顽固性阴囊疼痛或囊肿无缩小趋势的患儿，建议行囊肿切除术。
