CAJ | 학술논문

目的：提高对原发性附睾恶性肿瘤的认识。方法报道经治疗的1例原发性附睾粘液腺癌误诊附睾结核患者的临床资料，分析误诊原因，并结合文献进行复习讨论。结果本组1例附睾粘液腺癌，误诊为附睾结核，快速切片证实为恶性肿瘤，行睾丸、附睾及精索根治性切除术。结论附睾恶性肿瘤依据病史和体格检查进行诊断很容易误诊，采用超声检查较难鉴别附睾肿瘤与附睾结核、慢性附睾炎等疾病，术前明确诊断困难，当肿块的性质不能确定或保守治疗效果不明显时，应积极地采用手术探查。
목적：제고대원발성부고악성종류적인식。방법보도경치료적1례원발성부고점액선암오진부고결핵환자적림상자료，분석오진원인，병결합문헌진행복습토론。결과본조1례부고점액선암，오진위부고결핵，쾌속절편증실위악성종류，행고환、부고급정색근치성절제술。결론부고악성종류의거병사화체격검사진행진단흔용역오진，채용초성검사교난감별부고종류여부고결핵、만성부고염등질병，술전명학진단곤난，당종괴적성질불능학정혹보수치료효과불명현시，응적겁지채용수술탐사。
Objective To better understand primary epididymis malignant tumor .Methods The clinical data of 1 case of primary epididymis mucilage adenocarcinoma which was misdiagnosed as the epididymis tuberculosis was reported ,the error diagnostic reason was analied ,and the relevant literature was reviewed .Results 1 case of epididymis mucilage adenocarcinoma was given the surgery op-eration,fast slice confirmation for malignant tumor ,testicle, epididymis and spermatic rope radical resection .Conclusions The epidid-ymis tumor carried on the diagnosis based on the history and the medical examination was easy to misdiagnose ,but epididymis tumor , epididymis tuberculosis and chronic epididymitis was still difficult to distinguish by ultrasound inspection .Before the operation , it was difficult to do a pro-surgery diagnosis ,when the tumour could not been determined or the conservative treatment result was not obvious , it should positively use the surgery to probe .