Hornák M, Pauer M, Bárdos A, Ondrus D
Department of Urology, Komensky University Medical School, Bratislava, Czechoslovakia.
Int Urol Nephrol. 1987;19(3):321-5. doi: 10.1007/BF02549870.
In a retrospective study of 32 adult males undergoing "preventive" orchiectomy for unilateral undescended testis the average age of the patients at the time of orchiectomy was 28.3 years (range 16-63). Macroscopically, all the testes were atrophic and there was no evidence of tumour. In all surgically removed testes histological examination showed atrophied germinative epithelium and absence of spermatogenesis. In one patient, aged 16, an obvious carcinoma in situ was identified. In another 3 patients, aged 18, 19 and 29, atypical germ cells were found. Unilateral undescended testis in postpubertal patients should be treated by orchiectomy instead of orchiopexy.
在一项对32例因单侧隐睾接受“预防性”睾丸切除术的成年男性进行的回顾性研究中，患者接受睾丸切除术时的平均年龄为28.3岁（范围16 - 63岁）。肉眼观察，所有睾丸均萎缩，未发现肿瘤迹象。在所有手术切除的睾丸中，组织学检查显示生精上皮萎缩且无精子发生。在1例16岁患者中，发现明显的原位癌。在另外3例分别为18岁、19岁和29岁的患者中，发现了非典型生殖细胞。青春期后患者的单侧隐睾应通过睾丸切除术而非睾丸固定术进行治疗。
