CAJ | 학술논문

目的：探讨附睾腺瘤样瘤临床及病理特征、组织来源及诊治方案，提高诊断和治疗水平。方法回顾性分析2例经病理证实的附睾腺瘤样瘤的临床及病理学资料，结合近期文献进行分析和探讨。结果本病好发生于附睾。临床表现多为阴囊内无痛性肿块偶有疼痛。彩超可确定肿瘤的部位。所有病例均行肿瘤切除术。结论附睾腺瘤样瘤临床表现及影像学表现无特异性，多认为来源于间皮。诊断主要靠病理确诊。免疫组化和穿刺细胞学检查对本病的诊断和鉴别诊断有重要意义。肿瘤切除术中行冰冻切片检查，以确定睾丸及附睾保留的范围。
목적：탐토부고선류양류림상급병리특정、조직래원급진치방안，제고진단화치료수평。방법회고성분석2례경병리증실적부고선류양류적림상급병이학자료，결합근기문헌진행분석화탐토。결과본병호발생우부고。림상표현다위음낭내무통성종괴우유동통。채초가학정종류적부위。소유병례균행종류절제술。결론부고선류양류림상표현급영상학표현무특이성，다인위래원우간피。진단주요고병리학진。면역조화화천자세포학검사대본병적진단화감별진단유중요의의。종류절제술중행빙동절편검사，이학정고환급부고보류적범위。
Objective To investigate the clinical and pathological features, histogenesis, diagnostic and therapeutic strategy of adenomatoid tumors in male reproductive system.Methods Clinical and pathological data of 2 patients with adenomatoid tumors who were diagnosed by pathological check, were analyzed retrospectively. The related literatures were reviewed. Results Adenomatoid tumors were the most common tumors of epididymis. It typically presented as a hard painless mass in scrotum. All tumors were resected.Conclusion Clinical and imaging manifestation of adenomatoid tumors in male reproductive system are not specific. The diagnosis mainly depends on pathology. Immunohistochemical staining and aspiration cytology are helpful in diagnosis and supports that the tumor is from mesothelium. Frozen section is applied in the resection.The testis and epididymis sparing procedure should be performed.