【摘要】 目的 提高睾丸内胚窦瘤的诊治水平。方法 对我院1987年11月～2002年11月收治10例睾丸内胚窦瘤的诊治资料进行分析。结果 10例均行患侧睾丸肿瘤根治术,术后辅以化疗。随诊1～15年,6例Ⅰ期患者均无局部复发及转移。结论 Ⅰ期患者不必常规行腹膜后淋巴结清扫术;早期诊断,睾丸肿瘤根治术加化、放疗能明显提高睾丸内胚窦瘤的治愈率。AFP的动态观察可判断肿瘤是否复发和转移。更多还原

【Abstract】 Abstract Objective To study the diagnosis and recognition of yolk sac tumor of testis. Methods Ten cases of Yolk sac tumor of testis from November 1987 to November 2002 were studied. Results Radical orchieetomy and post - operative chemotherapy were performed in all the 10. Follow - up for 1 to 15 years, no local recurrence and distant metastasis were found in 6 cases of stage I. Conclusions Retroperitoneal lymphadenectomy( RPLND) is not necessary for patients of stage I . Early diagnosis and combined therapy, including radical orchieetomy, chemotherapy and radiotherapy , can improve the cure rate of yolk sac tumor of testis significantly. Active observing AFP may be useful for judging the recurrence and metastasis of this tumor.更多还原