睪丸表皮樣囊腫：良性睪丸腫瘤

睾丸表皮樣囊腫瘤相當少見，佔所有睾丸腫瘤約1%左右，在臨床上，睾丸可以摸到腫塊，在病理上，囊腫由扁平上皮細胞所排列，內含有角質，卻沒有附屬器或其他畸型胎成份。一般來說，陰囊超音波如果有標的現象，可能就是表皮樣囊腫；對所有懷疑睾丸表皮樣囊腫病例，我們仍然必須估腹股溝探查，將整個睾丸暴露出來，輕輕夾璧精索，做腫瘤摘除術，並送冷陳病理切片，證實有沒有惡性細胞，如果沒有惡性細胞，可以做睾丸保留術，尤其是年輕人或小孩。我們報告兩個病例，其血清之β-HCG和α-fetoprotein皆在正常範圍內，本文就陰囊超音波診斷和睾丸保留術應用在睾丸表皮樣囊腫，以及臨床上、開刀中是否要做睾丸保留術作一報告。

關鍵字

無資料

並列摘要

Epidermoid cyst of the testis is very rare and accounts for approximately 1% of all testicular tumors. In the clinical examination, the testis has a palpable mass. Patholgical findings usually reveal a squamous cell lined cyst, containing keratin, and the absence of appendages and teratoma element. If scrotum ultrasonography reveals a target sign suggestive of epidermoid cyst, the testis should be explored through an inguinal incision. Clapmp the spermatic cor gently, and perform tumor enucleation. The frozen section is available at the time to check for any malignant cells. If no malignant cells exist, it is important to perform testis-reserving surgery, especially for young adults and children. We report two cases of epidermoid cyst. Serum β-HCG and α-fetoprotein were within normal limits. We review our experience with scrotum ultrasonography and testis-reserving surgery in 2 men with epidermoid cyst to indicate when the clinical and intraoperative characteristics justify testis-preserving management.

並列關鍵字

epidermoid cyst ； ultrasonography, tesits

國際替代計量

睪丸表皮樣囊腫：良性睪丸腫瘤

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