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摘要: 目的:探讨和总结睾丸间质细胞瘤的临床表现、诊断与治疗。方法:回顾性分析2例睾丸间质细胞瘤患者的临床资料:2例均为青春期后发病,分别因隐睾肿痛伴发热及不育超声检查发现睾丸肿物入院。B超均为界限清楚的实性低回声结节,大小分别为2.1 cm×1.5 cm和1.0 cm×0.8 cm,瘤标及激素水平均正常。结果:2例均行根治性睾丸切除术,术中快速冷冻切片病理检查诊断为睾丸间质细胞瘤。术后病理表现为瘤细胞呈弥漫片状排列,多角形,胞质丰富嗜酸性。分别随访32和2个月,未见复发和转移。结论:睾丸间质细胞瘤临床罕见,确诊依赖病理组织学检查,术前细针穿刺活检有助于选择手术方式,尤其是青春期前的患者。
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[1] Kim I, Young R H, Scully R E. Leydig cell tumors of the testis. A clinicopathological analysis of 40 cases and review of the literature[J]. Am J Surg Pathol, 1985, 9(3):177-192.
[2] Holm M, Rajpert-De Meyts E, Andersson A M, et al. Leydig cell micronodules are a common finding in testicular biopsies from men with impaired spermatogenesis and are associated with decreased testosterone/LH ratio[J]. J Pathol, 2003,199(3):378-386.
[3] Jain M, Aiyer H M, Bajaj P, et al. Intracytoplasmic and intranuclear Reinke's crystals in a testicular leydig-cell tumor diagnosed by Fine-needle aspiration cytology:A case report with review of the literature[J]. Diagn Cytopathol, 2001,25(3):162-164.
[4] 叶烈夫,何延瑜,张元芳,等. 超声检查对睾丸肿瘤的诊断价值(附61例分析)[J]. 福建医药杂志,2002, 24(5):8-10.
[5] Maizlin Z V, Belenky A, Kunichezky M, et al. Leydig cell tumors of the testis:gray scale and color Doppler sonographic appearance[J]. J Ultrasound Med, 2004, 23(7):959-964.
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