CAJ | 학술논문

目的：探讨附睾转移性肿瘤的诊断、鉴别诊断、治疗方法及预后。方法回顾性分析我院1例结肠癌术后双侧附睾转移性腺癌患者的临床资料，复习相关文献资料并总结诊疗经验。结果术后病理诊断为双侧附睾、鞘膜、左侧睾丸转移性腺癌，术后恢复良好，随访过程中。结论附睾肿瘤术前诊断困难，对于既往有肿瘤病史的高龄患者，应完善影像学检查了解机体其他部位有无转移，高度怀疑附睾恶性肿瘤时应限期行手术探查并送术中病理检查，证实恶性者需行根治性睾丸附睾切除术加腹膜后淋巴结清除术。
목적：탐토부고전이성종류적진단、감별진단、치료방법급예후。방법회고성분석아원1례결장암술후쌍측부고전이성선암환자적림상자료，복습상관문헌자료병총결진료경험。결과술후병리진단위쌍측부고、초막、좌측고환전이성선암，술후회복량호，수방과정중。결론부고종류술전진단곤난，대우기왕유종류병사적고령환자，응완선영상학검사료해궤체기타부위유무전이，고도부의부고악성종류시응한기행수술탐사병송술중병리검사，증실악성자수행근치성고환부고절제술가복막후림파결청제술。
Objective To analyze the diagnosis, differential diagnosis, treatment and prognosis of metastatic epididymal tumor. Methods The clinical data of a patient with metastatic epididymis adenocarcinoma from post-operative of colon cancer, was analyzed retrospectively. Meanwhile, the experiences of related surgical treatments were summarized and the related literatures were reviewed. Results The patient was diagnosed as double side epididymis and tunica vaginalis and left testicular metastatic adenocarcinoma by postoperative pathology. The patient recovered well after operation and receivea regular follow-up. Conclusion It is difficult to diagnose epididymal tumor before operation. Surgical exploration is the first choice for those who have a highly suspection of this tumor, especially for patients with an established history of cancer. Once the malignancy cancer was confirmed by the histopathological analysis during operation, radical orchidepididymectomy with retroperitoneal lymph node dissection should be performed.