This is the 1748th literary works that the dawn that amount to cure protects
Ever had a such patients from the career of cure, he will see a doctor, at the same time scrotum increases on the right side of the feeling, the bump that spermary can touch 3cm of a diameter is controlled on the right side of medical discovery, character is stronger, feel a sense bad, b exceeds an examination to also suspect the possibility of spermary tumour is larger, effect a radical cure all right then sexual spermary resection, the pathology after art shows for tumour of sperm former cell, this is a kind when spermary tumour middling sees. How is spermary tumour to return a responsibility after all? How to diagnose with cure? How inchoate discovery? Later development has brief introduction with respect to the medical knowledge related spermary tumour.
A what organ is spermary?
Spermary is located in scrotum, show elliptic, have the aid of alls alone at essence of life overhang within scrotum. The spermary vertical diameter of normal person makes an appointment with 4 ～ 5 centimeters, horizontal diameter makes an appointment with 2.5 ～ 3.5 centimeters, around diameter makes an appointment with 3 centimeters, make an appointment with 14 grams of 10.5 ～ again. Spermary interior has radial connective tissue to divide spermary into 100 ～ the flocculus of 200 centrum shape, there is rich music fine essence of life to manage a network inside its, accumulative total length can amount to 250 meters, the connective tissue between canal of music fine essence of life is pledge between spermary, different organization can produce the spermary tumor of different type. Spermary tumour cell can go up along with lymphatic fluid circumfluence to peritonaeum hind, easy happening move of the lymph node after peritonaeum, the lymph node after so the patient of partial spermary tumour needs to accept peritonaeum sweeps art.
The type of spermary tumour
The type of spermary tumour is more complex, can divide send a gender to send gender and afterwards formerly two kinds big, in the former tumour that send a gender, divide again for tumour of cell of reproductive cell tumour and blame reproduction. The reproductive cell tumour of spermary includes tumour of tumour of sperm former cell, blame sperm former cell (wait like epithelioma of embryonic cancer, chorion and monster tumour) etc a few rare spermary tumor, among them tumour of sperm former cell is a kind of common type. The United States is new 2002 in patient of diagnostic 7500 spermary tumour, 40 ％ are tumour of sperm former cell, 60 ％ are the others tumour of blame sperm former cell.
What symptom does spermary tumour have?
The commonnest symptom increases for spermary without painful sex, major patient is to be in innocently in the spermary that discovers oneself appears of bump, spermary has the patient of 65 ％ to see a doctor in order to discover spermary bump in tumor patient, still having one share check body discovery by the doctor. The patient that also has 40 ％ of 30 ％ ～ is accompanied while spermary increases have drop slightly bilge feeling or blunt painful, tumor internal haemorrhage is necrotic can appear acute, paroxysmal ache and calorific. Tumour of a few spermary can produce estrogen and make the patient shows male breast Nancy. Because move of the lymph node after peritonaeum brings about lumbago,terminal tumour patient is met, antrum vein block brings about lower limbs oedema, still can appear weight drops, angular wait for a symptom.
How to diagnose spermary tumor?
The diagnosis of spermary tumour is not difficult, basically exceed according to medical and B, diagnose criterion hang on organizes pathology examination. Medical can discover spermary increases, character is stronger, perhaps touch in spermary surface the tubercle with stronger character, can undertake comparative with spermary of be good at side. Because spermary touchs easily, attentive patient can in time discover the bump on spermary, because this suggests authority is much at ordinary times a heart, there is abnormal appearance on him spermary alertly, once discover unusual situation, with respect to should timely seek medical advice. When the weather is cold, because scrotal skin contracts not to facilitate,check, can choose the examination below the circumstance with scrotal when washing a hot bath flabby skin. Besides medical, the most commonly used method should belong to B to exceed, can help the size that knows bump and quality, tumour of sperm former cell exceeds in B can behave in image for the low echo pathological changes with the even and clear, consistent border inside spermary, much performance is tumour of blame sperm former cell inhomogenous echo. CT examination can help the lymph node after whether judgement has peritonaeum transfer. Still an important examination is the examination of other people of spermary tumour number, basically have armour embryo egg white (AFP) close to with person chorion sexual gland hormone (β - HCG) . AFP basically is concerned with embryonic cancer, monster cancer, β - HCG basically is concerned with cancer of spermary cloth with soft nap. If these two index are elevatory, often hint the possibility that has these two kinds of cancer, and these two index are higher, the malign rate of tumor is higher also. Of course, diagnose clearly finally still need pathology to check, make clear the property of tumor and type, this needs to undertake after spermary resection.
How should be spermary tumour treated?
Spermary tumour, no matter which are planted the spermary tumour of the type, after height suspects should as early as possible undergo surgery cure, effect a radical cure all right sexual spermary resection, take inguinal cut namely, free energy demand provides core mouth level to groin and cut off. Excise energy demand and spermary, epididymis along with all the others downward again next. Tumour of sperm former cell is after spermary excision, but complementary put cure in order to turn area of the lymph node after cure or peritonaeum, if discover the lymph node after peritonaeum has move, the lymph node after should doing peritonaeum sweeps art. It is the patient that is not tumour of sperm former cell to diagnosing diagnose via pathology, the lymph node after in principle should undertake peritonaeum sweeps art. To the case with too big focus is being changed after peritonaeum, go ahead of the rest changes cure or can put cure, wait for the lymph node after peritonaeum going again after bump is contractible to sweep. The lymph node after withholding sexual nerval peritonaeum sweeps the impotent occurence rate after art reduced art, withheld already erect and ejaculation function, reduced the likelihood that tumor remains and has a relapse again. Put cure and change cure to still apply to patient of terminal spermary tumour.
Doctor of vice director of Wei of king of surgery of secrete make water
Outspread read
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