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一名12岁男孩双侧睾丸的处理

Management of a bilobed testicle in a 12-year-old boy.

作者信息

Halliday Laura J

机构信息

Department of General Surgery, Medway Maritime Hospital, Gillingham, UK

出版信息

J Surg Case Rep. 2013 Dec 16;2013(12):rjt112. doi: 10.1093/jscr/rjt112.

DOI:10.1093/jscr/rjt112
PMID:24968442
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3887999/
Abstract

A bilobed testicle is an extremely rare congenital malformation, with only five cases published to date. We present the case of a 12-year-old boy with a bilobed testicle. With so few cases available, much of what is known about the management of this condition is based on cases of polyorchidism and the complications associated with this, including malignancy and torsion. Whilst surgery may play a role in some patients, uncomplicated cases can be managed conservatively. There is no long-term data on the outcome of conservative management but we propose this patient can be discharged if no further changes are identified after 18 months.

摘要

分叶状睾丸是一种极其罕见的先天性畸形,迄今为止仅有五例相关病例报道。我们报告一例12岁患有分叶状睾丸的男孩病例。由于此类病例极少,目前已知的关于该病症治疗的大部分内容是基于多睾症病例及其相关并发症,包括恶性肿瘤和扭转。虽然手术可能对某些患者有用,但无并发症的病例可以保守治疗。目前尚无关于保守治疗结果的长期数据,但我们建议,如果18个月后未发现进一步变化,该患者可以出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af52/3887999/056dbc9413c0/rjt11202.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af52/3887999/1f79d04c16e5/rjt11201.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af52/3887999/056dbc9413c0/rjt11202.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af52/3887999/1f79d04c16e5/rjt11201.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af52/3887999/056dbc9413c0/rjt11202.jpg

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引用本文的文献

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Polyorchidism: An Up-to-Date Systematic Review.多睾症:最新系统评价
J Clin Med. 2023 Jan 13;12(2):649. doi: 10.3390/jcm12020649.
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本文引用的文献

1
Torsion of bilobed testis and biopsy-proven ipsilateral supernumerary testis in an adolescent.一名青少年双侧睾丸扭转及经活检证实的同侧额外睾丸
Can Urol Assoc J. 2010 Jun;4(3):E67-70. doi: 10.5489/cuaj.860.
2
Incomplete unilateral polyorchidism (bilobed testicle) mimicking testicular tumour.单侧不完全多睾症(双叶睾丸)酷似睾丸肿瘤。
J Pediatr Surg. 2012 Nov;47(11):2140-2. doi: 10.1016/j.jpedsurg.2012.08.033.
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An unusual case of triorchidism.一例罕见的三睾症病例。
JRSM Short Rep. 2010 Nov 25;1(6):55. doi: 10.1258/shorts.2010.010067.
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Bilobed testicle in children: diagnosis and management.儿童分叶状睾丸:诊断与处理
Can Urol Assoc J. 2009 Dec;3(6):E87-8. doi: 10.5489/cuaj.1188.
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Polyorchidism: a meta-analysis.多睾症:一项荟萃分析
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Polyorchidism: report of 3 cases and review of the literature.多睾症:3例报告并文献复习
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Bilobed testicle.双叶睾丸。
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Ultrasound diagnosis of testicular tumours presenting as epididymal disease.表现为附睾疾病的睾丸肿瘤的超声诊断
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