Tumors of the epididymis.
Tumors of the epididymis.
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附睾肿瘤。
DOI：
10.1016/s0022-5347(17)65231-5
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发表时间：
1961
期刊：
影响因子：
--
通讯作者：
H. Drinker
中科院分区：
文献类型：
--
作者：
C. P. Gray;C. L. Biorn;H. Drinker
在过去的4年里，我们将临床表现与附睾肿块患者的大体和显微镜下组织外观相关联。很快就发现，在附睾肿瘤的鉴别上存在很大的混乱。在本文中，我们回顾了文献，并报告了我们自己的重大案件。我们已经发展了一种附睾肿瘤性和非肿瘤性肿块的分类，这为诊断发生在该结构的疾病提供了指导。1951年，Longo和Thompson指出，在世界文献中总共报道了134例原发性附睾肿瘤，其中74%是良性的。到目前为止，附睾最常见的良性肿瘤是腺瘤样瘤（有时称为间皮瘤），约占这一组的70%。这种肿瘤的报道并不少见，并于1916年由Sakaguchi首次描述。格伦在1955年报告了3例，当时总共有123例。腺瘤样瘤不仅发生在附睾，也发生在睾丸被膜、输卵管浆膜面、子宫和卵巢，关于腺瘤样瘤的起源有几种学说，即它们起源于间皮，也可能起源于中肾的错构瘤或附睾的苗勒管遗迹。其他肿瘤发生频率较低。平滑肌瘤是第二常见的附睾良性肿瘤。Longo和Thompson指出，它们占附睾原发性肿瘤的10%。1951年以前的文献中记录了14例。1943年Gordon Taylor报告了一个附睾纤维肌瘤。据报道，脂肪瘤发生在附睾，但这是值得怀疑的，因为在这个结构中没有脂肪，根据吉布森和
For the past 4 years, we have correlated the clinical picture with the gross and microscopic appearance of tissue removed from patients who were seen with a mass in the epididymis. It soon became apparent that there was a great deal of confusion in the identification of epididymal tumors. In this paper, we have reviewed the literature and reported significant cases of our own. We have developed a classification of neoplastic and non-neoplastic masses arising in the epididymis which provides a guide to the diagnosis of diseases that occur in this structure. In 1951, Longo and Thompson stated that a total of 134 primary tumors of the epididymis had been reported in the world literature; of these, 74 per cent were benign. By far the most common benign neoplasm of the epididymis was the adenomatoid tumor (at times referred to as a mesothelioma) which comprised approximately 70 per cent of this group. This tumor has been reported not infrequently and was first described by Sakaguchi in 1916. Glenn in 1955 reported 3 cases, which at that time made a total of 123 in all. Adenomatoid tumors occur not only in the epididymis but in the testicular tunics, the serosal surface of the fallopian tube, uterus and ovary as well.Several theories of the origin of adenomatoid tumors have been advanced, ie that they are of mesothelial origin or that they may arise as hamartomas of the mesonephros or from mullerian vestiges in the epididymis. Other tumors occur less frequently. Leiomyoma is the second most common benign tumor of the epididymis. Longo and Thompson stated that they comprise 10 per cent of primary neoplasms of the epididymis. Fourteen cases were recorded in the literature up to 1951. Gordon-Taylor reported a fibromyoma of the epididymis in 1943. Lipomas have been reported as occurring in the epididymis, but this is doubtful as there is no fat in this structure, according to Gibson and