中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
19期
12-15
,共4页
陈兰花%李荣岗%孙丽霞%廖悦华%杨文丽
陳蘭花%李榮崗%孫麗霞%廖悅華%楊文麗
진란화%리영강%손려하%료열화%양문려
睾丸肿瘤%畸胎瘤%临床病理特征
睪汍腫瘤%畸胎瘤%臨床病理特徵
고환종류%기태류%림상병리특정
Testicular tumor%Teratoma%Clinicopathology features
目的：探讨睾丸畸胎瘤的临床病理特征。方法：回顾性分析57例睾丸畸胎瘤的临床病理资料。结果：57例患者，年龄1.5个月~43岁，平均12.8岁，其中9.5~14岁47例，占82.5%，单侧最多见55例，占96.5%。临床主要表现为阴囊内无痛性肿物51例，占89.5%，也可无明显症状。57例患者中，成熟性畸胎瘤6例，占10.5%，未成熟性畸胎瘤51例，占89.5%，其中单纯性未成熟畸胎瘤24例，占42.1%，合并其他生殖细胞肿瘤27例，占47.4%，其中合并精原细胞瘤和卵黄囊瘤14例，占24.6%，合并卵黄囊瘤5例，占8.8%，合并精原细胞瘤4例，占7.0%，其余为混合胚胎性癌2例和同时混合精原细胞瘤、卵黄囊瘤、胚胎性癌2例，分别占3.5%；临床分期Ⅰ期最多见38例，占66.7%。结论：睾丸畸胎瘤相对少见，患者以青春期前居多，多表现为睾丸无痛性肿大，病理分型以未成熟型畸胎瘤最常见，部分肿瘤合并其他生殖细胞肿瘤，病理分级及临床分期对患者治疗和预后尤为重要。
目的：探討睪汍畸胎瘤的臨床病理特徵。方法：迴顧性分析57例睪汍畸胎瘤的臨床病理資料。結果：57例患者，年齡1.5箇月~43歲，平均12.8歲，其中9.5~14歲47例，佔82.5%，單側最多見55例，佔96.5%。臨床主要錶現為陰囊內無痛性腫物51例，佔89.5%，也可無明顯癥狀。57例患者中，成熟性畸胎瘤6例，佔10.5%，未成熟性畸胎瘤51例，佔89.5%，其中單純性未成熟畸胎瘤24例，佔42.1%，閤併其他生殖細胞腫瘤27例，佔47.4%，其中閤併精原細胞瘤和卵黃囊瘤14例，佔24.6%，閤併卵黃囊瘤5例，佔8.8%，閤併精原細胞瘤4例，佔7.0%，其餘為混閤胚胎性癌2例和同時混閤精原細胞瘤、卵黃囊瘤、胚胎性癌2例，分彆佔3.5%；臨床分期Ⅰ期最多見38例，佔66.7%。結論：睪汍畸胎瘤相對少見，患者以青春期前居多，多錶現為睪汍無痛性腫大，病理分型以未成熟型畸胎瘤最常見，部分腫瘤閤併其他生殖細胞腫瘤，病理分級及臨床分期對患者治療和預後尤為重要。
목적：탐토고환기태류적림상병리특정。방법：회고성분석57례고환기태류적림상병리자료。결과：57례환자，년령1.5개월~43세，평균12.8세，기중9.5~14세47례，점82.5%，단측최다견55례，점96.5%。림상주요표현위음낭내무통성종물51례，점89.5%，야가무명현증상。57례환자중，성숙성기태류6례，점10.5%，미성숙성기태류51례，점89.5%，기중단순성미성숙기태류24례，점42.1%，합병기타생식세포종류27례，점47.4%，기중합병정원세포류화란황낭류14례，점24.6%，합병란황낭류5례，점8.8%，합병정원세포류4례，점7.0%，기여위혼합배태성암2례화동시혼합정원세포류、란황낭류、배태성암2례，분별점3.5%；림상분기Ⅰ기최다견38례，점66.7%。결론：고환기태류상대소견，환자이청춘기전거다，다표현위고환무통성종대，병리분형이미성숙형기태류최상견，부분종류합병기타생식세포종류，병리분급급림상분기대환자치료화예후우위중요。
Objective:To study the clinicopathological features of testicular teratoma.Method:The clinical pathological data of 57 cases with testicular teratoma were retrospectively analyzed.Result:The age of patients were 1.5 months to 43 years old,average 12.8 years,9.5-14 years old(82.5%).Clinically,thepatients were mainly present painless mass in the scrotum,accounting for 89.5%.Mature teratoma was 6 cases(10.5%),unmature teratoma was 51 cases(89.5%) patients,including simple immature teratoma of 24 cases(42.1%),merging other germ cell tumors of 27 cases(47.4%),including 14 cases of yolk sac tumor with seminoma,accounting for 24.6%,and merger of yolk sac tumor in 5 cases,accounting for 8.8%,the rest was embryonal carcinoma 2 cases,and containing at the same time the seminoma,yolk sac tumor and embryonal carcinoma was 2 cases,accounting for 3.5%.The most common clinical stage Ⅰ,accounting for 66.7%.Conclusion:Testicular teratoma are relatively rare,in the majority with before puberty,more performance for testicular painless swelling,pathological classification is immature teratoma,the most common type of cancer merger other germ cell tumor.Pathological classification and clinical stage are particularly important for the treatment and prognosis of patients.
