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睾丸超声应用以来,曾发现不能扪及的肿块,究竟应该如何进一步诊断和治疗过去未有定论。作者发现上述肿块5例,均为非恶性病变,建议若血清肿瘤标志为阴性、胸部摄片正常者,应定期超声随访。良性肿块将完全消退,而恒定或增大肿块可作局部切除,若冰冻切片提示为癌者作经腹股沟睾丸切除术。为决定这些病人的预后,作者建议一种改良分期法,Ia为经腹股沟切除的非扪及癌;Ib
Since the application of testicular ultrasound, once found the palpable lumps, how to further diagnosis and treatment of the past did not conclude. The authors found 5 cases of the above mass, are non-malignant lesions, it is recommended that if the serum tumor markers were negative, normal chest radiography should be regular ultrasound follow-up. Benign lumps will subside completely, while constant or enlarged lumps may be removed locally, and if the frozen sections suggest a cancerous inguinal orchiectomy. To determine the prognosis of these patients, the authors suggest a modified staging method, Ia for non-palpable cancerous resection of the groin; Ib