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目的探讨附睾乳头状囊腺瘤(SPCE)的超声特征,提高对该病的认识和术前诊断水平。方法回顾性分析5例(8个病灶)经手术证实的SPCE的临床及超声表现并进行相关文献复习。结果病灶均位于附睾头部,双侧发病3例,单侧发病2例,每侧均为1个病灶;超声表现为囊性包块或囊性为主混合性包块,6病灶囊性部分呈多房性,2个呈单房性;3病灶可见乳头状突起,另5病灶囊壁光滑;所有病变均>3cm,最大者10.1cm,均与附睾头部关系密切。随访至今尚未见林岛综合征(VHL综合征)表现。结论 SPCE不同于一般的睾丸鞘膜腔积液、睾丸或附睾囊肿等病变,超声表现具有一定的特征性。
Objective To investigate the ultrasonic characteristics of epididymal papilloma (SPCE) and to improve its understanding and preoperative diagnosis. Methods The clinical and ultrasonographic features of 5 cases (8 lesions) were retrospectively analyzed and the related literatures were reviewed. Results The lesions were located in the head of the epididymis, bilateral incidence in 3 cases, unilateral disease in 2 cases, each side are a lesion; ultrasound showed cystic mass or cystic mixed mass, cystic part of 6 lesions Were multi-ventricular, 2 were single-chamber; 3 lesions showed papillary processes, and the other 5 lesions smooth wall; all lesions were> 3cm, the largest 10.1cm, are closely related with the head of the epididymis. Follow-up has not yet seen Lindsey syndrome (VHL syndrome) performance. Conclusion SPCE is different from the general testicular hydrocele, testicular or epididymal cyst lesions, ultrasound has some characteristics.