45例单纯型单侧睾丸癌临床分析

A clinical analysis of 45 patients of single-cell type and one-sided nonseminnoma

摘要: 目的　探讨单纯型单侧睾丸癌的诊断与治疗。方法　对 4 5例单纯型单侧睾丸癌病例进行回顾性分析。结果　Ⅰ、Ⅱ、Ⅲ期 5年生存率各为 6 6 .7%、33.3%、0 ;有、无穿刺检查者 5年生存率各为38.5 %、6 5 .2 % ;Ⅰ期病例中, 胚胎癌与畸胎瘤的 5年生存率各为 5 7.1%、80 % ;以上比较均有显著差异(P <0 .0 5 )。结论　睾丸癌的诊断应谨慎, 禁忌做穿刺检查 ;治疗应积极, 在高位睾丸摘除及精索结扎后, Ⅰ、Ⅱ期病例采用患侧腹膜后清扫 +化疗, Ⅲ期和复发进展病例以化疗为主, 辅以局部手术或放疗。

Abstract: Objective To study the diagnosis and treatment of single-cell type and one-sided nonseminnoma. Methods It was studied on retrospection of 45 patients of single-cell type and one-sided nonseminnoma. Results The 5-year survival was 66.7% for stage Ⅰ, 33.3% for stageⅡ,0 for stage Ⅲ. The 5-year survival was 38.5% for the patients with fine-needle aspiration biopsy and 65.2% for the others with not; In stage Ⅰ patients, the 5-year survival was 57.1% for embryonal carcinoma and 80% for teratoma; there was...