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儿童急性淋巴细胞白血病初次诊断时,很少能辨认出睾丸白血病的存在。睾丸隐性浸润的发生率尚未进行研究。本文报告24例急淋男孩治疗前睾丸活检的结果。本组急淋患儿(按 FAB 分类;17例为 L_1,7例为L_2)均在16岁以下,确诊时作双侧睾丸楔形活检。其中4例为 T 细胞性急淋,14例为非 T 非 B 细胞性,6例为前 B 细胞性。睾丸大小正常,无与睾丸有关的症状。手术取下小的楔形睾丸组织(3×1×1mm~8),置于盐水浸湿的纱布上立即送病理检查。仅2例发生阴囊大出
When acute lymphoblastic leukemia is first diagnosed in childhood, the presence of testicular leukemia is rare. The incidence of testicular recessive infiltration has not been studied. This article reports the results of 24 pre-treatment testicular biopsies of 24 acute-rage boys. This group of acute lymphocytic children (by FAB classification; 17 cases of L_1, 7 cases of L_2) were under 16 years of age, diagnosis of bilateral testicular wedge biopsy. Of these, 4 were T-cell acute lymphocytes, 14 were non-T non-B cell and 6 were pre-B cell. Testicular size is normal, no testicular-related symptoms. Surgical removal of small wedge-shaped testis tissue (3 × 1 × 1mm ~ 8), placed in salt water soaked gauze immediately sent for pathological examination. Only 2 cases of scrotum large