Altadonna V, Snyder H M, Rosenberg H K, Duckett J W
Division of Urology, Children's Hospital, Philadelphia, Pennsylvania.
J Urol. 1988 Dec;140(6):1505-7. doi: 10.1016/s0022-5347(17)42086-6.
We report on 2 children with simple cysts of the testis who were treated with excision and testicular preservation. To our knowledge both cases represent the first report of conservative surgery for these lesions in children. In 1 case the diagnosis of a simple intratesticular cyst was made by ultrasound. This patient was followed conservatively until enlargement resulted in excision of the cyst with preservation of the gonad. In the other case the diagnosis was made intraoperatively and simple excision of the lesion with testicular sparing was performed. High resolution real-time ultrasound should be performed routinely for all suspected testicular masses in children. Benign testicular tumors are more common than in adults and ultrasound may permit identification of lesions that can be excised locally with testicular preservation. Should the diagnosis of a simple, small intratesticular cyst be made by ultrasound regular followup may be appropriate. Should enlargement occur surgical excision can be done with the possibility of gonadal preservation.
我们报告了2例睾丸单纯囊肿患儿，他们接受了囊肿切除并保留睾丸的治疗。据我们所知，这两例均为儿童此类病变保守手术的首例报告。1例通过超声诊断为睾丸内单纯囊肿。该患者起初接受保守观察，直至囊肿增大后行囊肿切除并保留性腺。另一例术中确诊，行病变单纯切除并保留睾丸。对于所有疑似儿童睾丸肿块，均应常规进行高分辨率实时超声检查。良性睾丸肿瘤在儿童中比成人更常见，超声检查可能有助于识别可通过局部切除并保留睾丸的病变。如果通过超声诊断为单纯、小的睾丸内囊肿，定期随访可能是合适的。如果囊肿增大，可以进行手术切除并有可能保留性腺。
