中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
3期
38-40
,共3页
生殖细胞瘤%诊断%治疗
生殖細胞瘤%診斷%治療
생식세포류%진단%치료
Germinoma%Diagnosis%Treatment
目的 探讨睾丸生殖细胞瘤的诊断及治疗.方法 回顾性分析45例经手术病理证实为原发睾丸生殖细胞瘤患者的临床资料.结果 45例均行手术治疗,术后病理检查示精原细胞瘤28例,畸胎瘤3例,胚胎癌2例,绒毛膜上皮癌2例,混合性生殖细胞瘤4例,卵黄囊瘤5例,精母细胞型精原细胞瘤1例.根据术后病理结果选择相应放化疗方案.术后随访3个月至5年,11例失访,34例获得随访,精原细胞瘤25例,非精原细胞瘤9例,死亡5例.结论 怀疑睾丸病变者早期手术治疗及辅助行放化疗是提高临床治愈的关键.
目的 探討睪汍生殖細胞瘤的診斷及治療.方法 迴顧性分析45例經手術病理證實為原髮睪汍生殖細胞瘤患者的臨床資料.結果 45例均行手術治療,術後病理檢查示精原細胞瘤28例,畸胎瘤3例,胚胎癌2例,絨毛膜上皮癌2例,混閤性生殖細胞瘤4例,卵黃囊瘤5例,精母細胞型精原細胞瘤1例.根據術後病理結果選擇相應放化療方案.術後隨訪3箇月至5年,11例失訪,34例穫得隨訪,精原細胞瘤25例,非精原細胞瘤9例,死亡5例.結論 懷疑睪汍病變者早期手術治療及輔助行放化療是提高臨床治愈的關鍵.
목적 탐토고환생식세포류적진단급치료.방법 회고성분석45례경수술병리증실위원발고환생식세포류환자적림상자료.결과 45례균행수술치료,술후병리검사시정원세포류28례,기태류3례,배태암2례,융모막상피암2례,혼합성생식세포류4례,란황낭류5례,정모세포형정원세포류1례.근거술후병리결과선택상응방화료방안.술후수방3개월지5년,11례실방,34례획득수방,정원세포류25례,비정원세포류9례,사망5례.결론 부의고환병변자조기수술치료급보조행방화료시제고림상치유적관건.
Objective To investigate the diagnosis and therapy of testicular germ cell tumour.Methods The clinical data of 45 cases that were confirmed by pathology testicular germ cell tumour were retrospectively analyzed.Results All 45 cases were resected successfully.Among of them,28 cases seminoma,3 cases teratoma,2 cases embryoma,2 cases choriocarcinoma,4 cases mixed testicular germ cell tumour,5 cases yolk sac tumor,1 case spermatocytic seminoma.The treatment method was selected by pathology results.Eleven cases were lost,34 cases were followed up for 3 month to 5 years,25 cases seminoma,9 cases non-seminoma,5 cases were died.Conclusion Surgical resection and adjuvant chemotherapy are important factors for testicula disease.
