Vázquez F, Núñez R, Díaz P, Blesa E
Servicio de Cirugía Pediátrica, HospitalUniversitario Materno-Infantil, Badajoz.
Cir Pediatr. 1995 Oct;8(4):170-2.
We report two cases of epidermoid cyst of the spermatic cord in infants 14 months and 2 1/2 years old, respectively. The initial diagnosis in one patient was funicular hydrocele and paratesticular mass no transilluminable in the other case. The treatment was the local excision of tumor and the diagnostic was histological in both patients. Postoperative course was excellent in both, the first after fistullization and surgical treatment. Must be explored the transillumination of the mass which would have led us to think other of the diagnoses different from that of the cord hydrocele before the operation, since it would have given negative. During the operation, must be assured that the cystic anomaly is limited to spermatic cord, to evite fistulization in the postoperative course.
我们分别报告了两例精索表皮样囊肿病例，患儿年龄分别为14个月和2岁半。其中一名患者最初的诊断为精索鞘膜积液，另一例为睾丸旁肿物且不透光。治疗方法为局部肿瘤切除，两名患者均经组织学诊断。两名患者术后恢复均良好，第一例患者经造瘘和手术治疗。术前必须对肿物进行透光检查，因为透光阴性会使我们在手术前考虑其他不同于精索鞘膜积液的诊断。手术过程中，必须确保囊性异常仅限于精索，以避免术后出现瘘管形成。
