Moriya Kimihiko, Yamamoto Shota, Nakamura Michiko, Nishimura Yoko, Nishida Mutsumi, Iwai Takahito, Kanno Yukiko, Kitta Takeya, Shinohara Nobuo
Department of Renal and Genitourinary Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Department of Renal and Genitourinary Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Urology. 2017 May;103:e13-e14. doi: 10.1016/j.urology.2017.02.034. Epub 2017 Mar 1.
Limited numbers of pediatric intratesticular cystic lesions have been reported. Although the majority of pediatric intratesticular cystic masses are benign, natural history of testicular cystic lesion in children has been rarely reported so far. We report a case of intratesticular cystic lesion in a prepubertal child who underwent testis sparing surgery after shrinkage during conservative follow-up. As an initial strategy for intratesticular cystic lesions in prepubertal children, observational approach with serial ultrasonographic evaluations may be a management of choice.
据报道,小儿睾丸内囊性病变的数量有限。虽然大多数小儿睾丸内囊性肿块是良性的,但迄今为止,儿童睾丸囊性病变的自然病史鲜有报道。我们报告一例青春期前儿童睾丸内囊性病变,该患儿在保守随访期间囊肿缩小后接受了保留睾丸手术。作为青春期前儿童睾丸内囊性病变的初始治疗策略,采用连续超声评估的观察方法可能是首选的处理方式。