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目的:分析阴茎头表皮样囊肿的临床特点,提高临床对其诊治水平。方法:回顾性分析1例阴茎头表皮样囊肿患者临床资料:36岁,发现阴茎头肿物6年,进行性增大1个月。检查阴茎头中部可触及一内生性、球形、质硬包块,大小约1.5cm×1.2cm×1.0cm,无触痛,包块与阴茎白膜及尿道界限清楚。尿道外口正常,勃起后阴茎无弯曲,阴茎头肿物无明显增大。彩超提示阴茎头海绵体内实性占位伴细小钙化斑。MRI检查阴茎头内可见结节状异常信号影,T1WI呈等信号,T2WI呈低信号,考虑为肿瘤性病变。患者于腰硬联合麻醉下行阴茎头肿物切除术。结果:手术顺利,切除组织送病理检查证实为阴茎头表皮样囊肿。结论:阴茎头表皮样囊肿是一种罕见的良性疾病,进展缓慢。手术切除疗效好,无复发,对患者勃起功能无明显影响。
Objective: To analyze the clinical features of penis epidermoid cyst and improve its clinical diagnosis and treatment. Methods: A retrospective analysis of 1 case of penis epidermoid cyst clinical data: 36 years old, found penis head tumor for 6 years, increased for 1 month. Check the middle of the penis can reach an endogenous, spherical, hard mass, the size of about 1.5cm × 1.2cm × 1.0cm, no tenderness, mass and the penis and urethra clear boundaries. Normal urethral orifice, no penis after erection, no significant increase in penile head and neck mass. Choi ultrasound tip of the penis sponge solid occupancy with small calcified plaque. MRI examination of penile head visible nodular anomalous signal, T1WI was equal signal, T2WI was low signal, considered as tumor lesions. Patients underwent combined spinal and epidural anesthesia in the removal of the penis. Results: The operation was successful. The resected tissue was sent for pathological examination and confirmed as penis epidermoid cyst. Conclusion: The penis epidermoid cyst is a rare benign disease with slow progress. Surgical removal of good effect, no recurrence, no significant effect on erectile function in patients.