胯下拖着4斤多的东西走路，是什么感觉？13岁的男孩不好意思说，更令人难以想象的是，父母居然一直没发现异样。浙大附属儿院泌尿肿瘤科徐珊主任说，他从医30多年来，从来没见过这么大的睾丸肿瘤，像个即将爆掉的小皮球，足有4斤多。

Legs dragging four catties more things to walk,Is what feeling?13 year old boy embarrassed to say,The more hard to imagine,Parents should never discovered strange.Affiliated with zhejiang university son hospital urinary oncology XuShan director said,He working in more than 30 years,Have never seen such a large testicular tumor,Like a small ball is overflowing,Foot four catties more.

性教育缺失让孩子“羞于启齿” Lack of sex education for children"shy"

　　小张，江苏某农村人，13岁。

Xiao zhang,Jiangsu a rural people,13 years old.

　　上周四，在父母的陪同下，他步履蹒跚地来到浙大附属儿院。“前一天，我还能骑电动车。”面对医生，小张很羞涩，不好意思多说。父母也认为，之前一直没发现有什么不对，一天就肿成这样子了。

On Thursday,In accompanied by parents,He rolled up went to the school affiliated with zhejiang university son."The day before,I can still ride electric vehicles."In the face of the doctor,Xiao zhang is very shy,Embarrassed to say more.Parents also think,Had been didn't find anything wrong,One day the swollen into like this.

　　年轻的接诊医生看了看，也判断不好啥情况，阴囊部位没有明显的外伤，却肿得像个小皮球，表层的静脉血管都被撑得扩张了，还在流血。收治住院后，徐珊主任安排小张做了个B超，结果显示是睾丸肿瘤。

Young accepts the doctor looked at,Also judge what bad situation,Scrotal parts no significant injury,But swollen like a small ball,The surface veins were full to the expansion,Was still bleeding.Treated in hospital after,XuShan director zhang arrangement made a B to exceed,Results show that is testicular tumor.

　　“目前已经做了肿瘤切除，病理还没出现，但基本可以判断是晚期，转移到哪里还需要进一步检查。”徐主任说，儿童睾丸肿瘤不算罕见，科室成立10年来已接诊过80余例，但像这么大的还是第一次见到，“五六十年代的教科书上还能看到，现在已经很罕见了。”

"At present has done tumor resection,Pathological haven't appeared,But the basic can judgment is late,Transferred to where still need further examination."Xu director said,Children testicular tumor is not rare,Department set up 10 years already accepts had more than 80 cases,But like so much is the first time I saw,"Of the s and 60 s textbook also can see,It is very rare."

　　他很纳闷，为什么家长和孩子自己一直没发现？小张说，其他今年8月他就感觉有点不舒服了，但是一直不好意思说。而父母也是生意人，很少和孩子沟通，更不要谈性教育了。

He was wondering,Why parents and children never discovered?Zhang said that,Other August he will feel a little uncomfortable,But has been embarrassed to say.And parents also is a businessman,Little children and communication,Don't even talk about sex education the.

　　“青春期的孩子都比较羞涩，很多事情难以启齿，学校教育和家庭教育的缺失，导致了这样的悲剧。”徐主任说，肿瘤细胞呈几何倍数分裂生长，2个分裂成4个，4个分裂成8个，肿瘤能长这么大肯定已长了好几个月。

"Adolescence children are shy,A lot of things hard to speak out,School education and family education lack of,Cause of the tragedy."Xu director said,The tumor cells are arranged in geometric multiple division growth,The two split into four,Four divided into eight,The tumor can grow so big must have long for several months.

阴囊不对称或肿大做个B超 Scrotal asymmetric or enlargement do a B to exceed

　　儿童睾丸肿瘤好发于两个阶段：一是3至5岁，这个年龄段的孩子多穿开裆裤，很多家长发现孩子阴囊下坠，就诊后被检查确诊；二是青春期男孩，和该年龄段性激素水平增高有关。

Children testicular cancer occurs in two stages:One is 3 to 5 years old,This age children wear split pants,Many parents find their children scrotum drop,See a doctor diagnosed by check;The second is adolescent boy,And the age increased levels of sex hormones on.

　　徐主任介绍，“对于这个毛病，大部分家长都认识不足，很多都是孩子单侧阴囊下坠或肿大，过了两三个月才来就诊。”其实，早发现对于治疗睾丸肿瘤非常重要，这个肿瘤早期转移的几率比较小，早发现的治愈率非常高。

Xu director introduces,"For this problem,Most parents know shortage,Many children are unilateral scrotum drop or enlargement,After two to three months to come to see a doctor."In fact,Early detection is very important for the treatment of testicular tumors,The tumors are less likely to early metastasis,Early detection of the cure rate is very high.

　　怎样才能早发现呢？B超检查。当家长发现孩子的阴囊双侧不对称，或者因睾丸鞘膜积液导致阴囊肿大，到医院首诊时最好能做个B超检查，90%以上的肿瘤能够被排查出来。

How can I early found?B ultrasonic examination.When parents find their children scrotum bilateral asymmetric,Or because perididymis effusion lead to scrotal swelling,To the hospital first diagnosis when should better be able to do a B to exceed an examination,More than 90% of the tumors can be out side.

隐睾的孩子1周岁时需手术 Cryptorchidism children 1 year of age to surgery

　　隐睾是指男婴出生后单侧或双侧睾丸未降至阴囊，而停留在其正常下降过程中的任何一处。也就是说，阴囊内没有睾丸或仅有一侧有睾丸。这样的孩子还是蛮多的，浙大附属儿院每年要做五六百台隐睾下降手术。

Cryptorchidism is refers to the baby boy was born unilateral or bilateral testicular not drop to scrotum,And stay in their normal in the process of decline any one place.That is,In the scrotum no testicular or only one side are testis.Such children still pretty much,Affiliated with zhejiang university son yuan every year to do WuLiuBaiTai cryptorchidism down operation.

　　隐睾的孩子成年后发生睾丸肿瘤的概率是正常人群的40倍，“曾经有一个浙大的老教授，抱着1岁多的孙子来做隐睾手术。他说，自己有个亲弟弟，因为隐睾患睾丸癌18岁就去世了，所以特别重视这个问题。”徐主任说，很多成人睾丸肿瘤患者都是隐睾。

Cryptorchidism child adult occurs after testicular tumor probability is normal crowd 40 times,"There was once a zhejiang university old professor,Hold more than 1 year old grandson to do cryptorchidism surgery.He said,You have a close brother,Because cryptorchidism with testicular cancer 18 years old died,So pay special attention to this problem."Xu director said,A lot of adult patients with testicular tumors are cryptorchidism.

　　一般来说，孩子6个月大时睾丸如果没降到阴囊内，那以后基本就不会下降了，如果6岁前都没有手术治疗，那么没有下降到阴囊的睾丸将丧失生殖功能。而且患睾丸癌的几率大大增高。因此，建议有隐睾的孩子1周岁时就要做手术。（记者 余敏 通讯员 王雪飞）

Generally speaking,Children 6 months old to testicular if not in the scrotum,Then the basic will not dropped,If before the age of 6 no surgical treatment,Then it is down to scrotal testicular will lose reproductive function.And with testicular cancer chance greatly increased.therefore,Suggestion cryptorchidism children 1 year of age will be surgery.(Reporter correspondent WangXueFei 13)