Department of Urology, Medical University Innsbruck, Innsbruck, Austria.
Department of Radiology, Medical University Innsbruck, Innsbruck, Austria.
Anticancer Res. 2020 May;40(5):2861-2864. doi: 10.21873/anticanres.14261.
BACKGROUND/AIM: Hydrocele testis is a common disease with a prevalence of 1% in adults. Although it can be diagnosed by physical examination, scrotal ultrasound represents a standard diagnostic tool, to exclude underlying pathologies among them testicular or scrotal malignancies.
We conducted a retrospective analysis of 156 patients aged between 20 and 60 years who underwent surgical hydrocelectomy between 2003 and 2018. Pre-surgical ultrasound, histological results, complications and patients' characteristics were analysed.
Malignancies were found in 0% of patients in the pre-surgical ultrasound. Interestingly, we found a higher incidence of hydrocele testis in patients with increasing age and 27% presented with symptoms other than painless enlargement of the scrotum. Among them recurrent pain was the most common. Surgical complications occurred in only 3.2%.
Testicular cancer is an important differential diagnosis of hydrocele testis. However, in our study no case of incidental testicular cancer or scrotal malignancy was found in the pre-surgical ultrasound.
背景/目的：睾丸鞘膜积液是一种常见疾病，成年人患病率为 1%。虽然通过体格检查即可诊断，但阴囊超声是一种标准的诊断工具，可排除其中的睾丸或阴囊恶性肿瘤等潜在病变。
我们对 2003 年至 2018 年间接受手术治疗的 156 例 20-60 岁睾丸鞘膜积液患者进行了回顾性分析。分析了术前超声、组织学结果、并发症和患者特征。
术前超声检查未发现恶性肿瘤。有趣的是，我们发现随着年龄的增长，睾丸鞘膜积液的发病率更高，27%的患者出现的症状除了阴囊无痛性肿大外还有其他症状。其中最常见的是复发性疼痛。仅 3.2%的患者发生手术并发症。
睾丸癌是睾丸鞘膜积液的重要鉴别诊断。然而，在我们的研究中，术前超声检查未发现偶然发现的睾丸癌或阴囊恶性肿瘤。
