Malignant tumor of spermatic cord
Introduction
Introduction to spermatic malignancies Malignantneoplasmofspermaticcord accounts for about 30% of spermatic tumors, including rhabdomyosarcoma, malignant fibrous tissue tumor, liposarcoma, vas deferens papillary carcinoma, fibrosarcoma and leiomyosarcoma. Among them, rhabdomyosarcoma is the most common and malignant. Fibrosarcoma, leiomyosarcoma, has a relatively low degree of malignancy. basic knowledge The proportion of illness: 0.001% Susceptible people: seen in men Mode of infection: non-infectious Complications: malignant tumor
Cause
The cause of spermatic malignancies
Malignant tumors can also destroy the structure and function of tissues and organs, causing necrotic hemorrhage and infection, and patients may eventually die due to organ failure. The causative factors that cause cell carcinogenesis are broadly divided into:
1. Physical treatment factors such as X-rays and ionizing radiation;
2, chemical carcinogens, such as nitrite (usually found in pickled vegetables or overnight dishes), aflatoxin;
3. Viral carcinogenic factors such as hepatitis B virus and herpes virus.
Prevention
Malignant tumor prevention
1. It is generally believed that all kinds of malignant tumors, sickness and stagnation of yin and yin, are mostly yin deficiency and internal heat. Therefore, in diet conditioning, foods with temperate heat and dryness properties should be avoided, and stagnation foods also advocate eating less; in the middle and late stages of cancer Most of them are deficiency syndrome, cold syndrome, diet advocates warming the spleen and stomach, benefiting Qi and blood, and other foods, while those who are cold and cold, should eat less or not.
2. Do not have masturbation, do not urinate, do not sit for a long time, do not indulge.
3. Regular review is still necessary.
Complication
Sperm malignant tumor complications Complications malignant tumor
(1) Obstruction and compression: This is similar to a benign tumor, but the obstruction of malignant tumors develops rapidly and to a high degree.
(2) The growth period also affects the possibility of sperm.
(3) Metastasis, spread, etc. of malignant tumors, which are serious to life.
(4) necrosis, hemorrhage, infection: malignant tumors grow rapidly, cancer tissue often necrosis due to insufficient blood supply, if cancerous tissue invades blood vessels, it can cause bleeding
(5) Pain: Pain in the abdomen and testicles due to compression or invasion of the nerve tissue.
Symptom
Symptoms of spermatic malignancy Common symptoms Scrotal swelling and painless scrotal mass grows too fast
1. Symptoms: painless scrotal mass, faster growth; there is also a sudden increase in the original mass based on the original.
2. Signs: The affected side of the scrotum is swollen, which can be sputum and tough, irregular lumps, sometimes unclear with the surrounding tissue, negative light transmission test.
Clinical phase 4:
Stage I: Stage Ia: The tumor is confined to the spermatic cord and can be completely removed.
Stage Ib: The tumor has local infiltration but can be completely removed.
Stage II: Stage IIa: Tumor remains under the microscope after tumor resection.
Stage IIb: There is regional lymph node metastasis, but it can be completely removed.
Stage III: The tumor cannot be completely removed, and there are residual tumors in the naked eye.
Stage IV: There is a distant transfer.
Examine
Examination of spermatic malignancies
B-ultrasound and CT can determine whether the tumor capsule is intact, its relationship with surrounding tissues, lymph node metastasis, etc. Histopathological examination can confirm the nature of the tumor.
Diagnosis
Diagnosis and diagnosis of spermatic malignant tumor
diagnosis
It is found that when there is a lump on the spermatic cord that is not related to the testis, it should be taken seriously, and the right to treat it as a malignant tumor until the surgical exploration, the pathology is clear.
Differential diagnosis
1. Inguinal hernia: scrotum or inguinal hernia and mass, but it is reversible, appears when standing, disappears when lying down, the inguinal subcutaneous ring increases, there is a shock when coughing, percussion is drum sound, auscultation can smell D.
2. Testicular hydrocele: scrotal mass, pear-shaped, with a sense of fluctuation, positive light transmission test, after diagnostic puncture, testicular, spermatic cord palpation is normal.
3. Testicular tumor: a substantial mass of the scrotum, the testicles feel heavy when palpated, hard and inelastic, while the spermatic tumor side testicular palpation is normal.
4. spermatic hydrocele: the mass along the spermatic cord, the volume is small, cystic, positive light transmission test, B-mode ultrasound examination of the spermatic cord site has a circular or elliptical sound-transparent area.
5. Semen cyst: a scrotal mass, similar to a small tumor in the spermatic cord, but the cystic mass of the epididymis head, clear boundaries, small volume, round, ultrasound map in the epididymis head has a round The sound-permeable area is generally about 1 to 2 cm in size, and the diagnostic puncture can extract the liquid containing the sperm in the milky white.
