Kressel K, Schnell D, Thon W F, Heymer B, Hartmann M, Altwein J E
Department of Urology, Bundeswehrkrankenhaus Hamburg, Ulm, FRG.
Eur Urol. 1988;15(3-4):200-4. doi: 10.1159/000473433.
Between June 1980 and June 1986, 345 inguinal explorations for intrascrotal space-occupying lesions were performed. In 47 patients benign testicular tumors were diagnosed (13.5%). In 32 of the 47 tumors (68%), the testis could be preserved by excision or enucleation of the tumor. In the remaining 15 patients a high semicastration was carried out: in 12 cases macroscopic examination or frozen section revealed doubtful benignity (6 Leydig cells tumors, 5 dermoid cysts and 1 epidermoid cyst), in 3 patients because of extensive involvement of the testis. In a follow-up period of 1-7 years none of the patients has shown evidence of tumor recurrence or metastasis. Changing the concept of not incising the parietal tunica of the testis and regarding clear-cut macroscopic and histological criteria of benignity on frozen section will safely lower the testicular loss rate from up to 80% to about 30% when benign tumors are encountered.
1980年6月至1986年6月期间，对345例阴囊内占位性病变进行了腹股沟探查。47例患者被诊断为良性睾丸肿瘤（13.5%）。在这47例肿瘤中，32例（68%）可通过肿瘤切除或剜除术保留睾丸。其余15例患者进行了高位睾丸切除术：12例经大体检查或冰冻切片显示良性情况可疑（6例为莱迪希细胞瘤、5例为皮样囊肿和1例为表皮样囊肿），3例患者是由于睾丸广泛受累。在1至7年的随访期内，所有患者均未出现肿瘤复发或转移迹象。当遇到良性肿瘤时，改变不切开睾丸白膜的观念并采用明确的大体和组织学良性标准进行冰冻切片检查，可安全地将睾丸丢失率从高达80%降至约30%。
