【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。更多还原

【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 significant statistical diffence between the above two grops.Conclusion The diagnosis of nonseminoma should be cautious and the treatment of that should be positive. After high position orchiectomy and high ligation of the spermatic cord, patients with stage Ⅰand stage Ⅱdiseases were initially treated with diseased-sided retroperitoneal lymph node dissection(RPLND) combined chemothepy, whereas those with stage Ⅲ and those with recurrence and progress recived chemotherapy as a primary treatment, assisted by local reaction or radiotherapy.更多还原