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目的:提高对睾丸鞘膜纤维性假瘤的认识及诊疗水平。方法:回顾性分析1994年3月～2009年6月收治的5例睾丸鞘膜纤维性假瘤的临床资料;5例患者均以发现阴囊内肿块而入院,体检发现睾丸和附睾旁数个大小不一的类圆形结节,结节质韧,无压痛,活动度好,无粘连;B超发现结节为实性低回声光团、无明显血流信号;5例均行手术治疗。结果:1例行睾丸、附睾及多发性结节切除术,4例行保留睾丸、附睾的多发性结节和睾丸鞘膜切除术,1例术中快速冷冻切片为炎性假瘤,术后病理结果均为睾丸鞘膜多发性纤维性假瘤,随访1～5年无复发。结论:睾丸鞘膜纤维性假瘤是一种少见的阴囊部位良性肿瘤样病变,提高认识后诊断不难,治疗上行保留睾丸、附睾的多发性结节和睾丸鞘膜切除术即可,无需行睾丸附睾切除术。
Objective: To improve the knowledge and diagnosis and treatment of testicular sheath fibrous pseudotumor. Methods: The clinical data of 5 cases of testicular sheath fibrous pseudotumor treated in our hospital from March 1994 to June 2009 were retrospectively analyzed. All the 5 cases were admitted to the hospital with scrotal mass and were found on testis and epididymis Different types of round nodules, nodular quality of tough, no tenderness, good activity, no adhesions; B ultrasound was found to be low hypoechoic nodules, no significant blood flow signals; 5 patients underwent surgical treatment . Results: One case underwent testicular, epididymis and multiple nodules resection. Four cases had multiple testicular and epididymal nodules and testicular sheath excision. One case of intraoperative frozen section was inflammatory pseudotumor. After operation Pathological findings were multiple testicular sheath fibrosis, no follow-up of 1 to 5 years without recurrence. Conclusion: Fetal fibula pseudotumor is a rare benign tumor-like lesions of the scrotal site. It is not difficult to improve the diagnosis of post-operative diagnosis. Multiple nodules and testicular excision of the testis and epididymis are reserved for the treatment of upper extremity. Testicular epididymal resection.