目的 提高睪丸內(nèi)胚竇瘤的診治水平。 方法 對2010年8月和2011年9月分別收治的2例睪丸內(nèi)胚竇瘤診治資料進行分析并結(jié)合文獻復(fù)習(xí)。 結(jié)果 2例均行患側(cè)睪丸腫瘤根治性切除術(shù),術(shù)后分別隨訪3個月和1年,無局部復(fù)發(fā)及處轉(zhuǎn)移。 結(jié)論 甲胎蛋白結(jié)合影像學(xué)檢查可提高睪丸內(nèi)胚竇瘤的診斷率;根治術(shù)結(jié)合放射治療、化學(xué)治療能提高治愈率;甲胎蛋白可作為觀察療效的指標(biāo)。
引用本文: 余剛,吳顏娟,陶勇,楊水華. 睪丸內(nèi)胚竇瘤二例報告及文獻復(fù)習(xí). 華西醫(yī)學(xué), 2012, 27(5): 684-686. doi: 復(fù)制
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- 1. 顧方六. 現(xiàn)代泌尿腫瘤外科學(xué)[M]. 北京: 人民衛(wèi)生出版社, 2003: 289.
- 2. Terenziani M, Piva L, Spreafico F, et al. Clinical stageⅠ nonseminomatous germ cell tumors of the testis in childhood and adolescence: an analysis of 31 cases[J]. J Pediatr Hematol Oncol, 2002, 24(6): 454-458.
- 3. 武忠弼, 楊光華. 中華外科病理學(xué)[M]. 北京: 人民衛(wèi)生出版社, 2002: 1164.
- 4. 李永麗, 丁國瑾. 睪丸內(nèi)胚竇瘤一例報告及文獻復(fù)習(xí)[J]. 腫瘤研究與臨床, 2010, 22(6): 421-423.
- 5. 曾進. 現(xiàn)代泌尿腫瘤學(xué)[M]. 武漢: 湖北科學(xué)技術(shù)出版社, 1997, 229.
- 6. Grady RW, Rose JH, Kay R. Patterns of metastatic spread in prepubertal yolk sac tumor of the testis[J]. J Urol, 1995, 153(4): 1259-1261.
- 7. Lin JN, Wang KL, Hung IJ, et al. Management of yolk sac tumor of the testis in children[J]. J Formos Med Assoc, 1994, 93(5): 393-396.
- 8. Liu HC, Liang DC, Chen SH, et al. The stageⅠyolk sac tumor of the testis in children younger than 2 years ,chemotherapy or not [J]. Pediatr Hematol Oncol, 1998, 15(3): 223-228.
- 9. Foster RS, Hermans B, Bihrle R, et al. Clinical stageⅠpure yolk sac tumor of the testis in adults has different clinical behavior than guvenile yolk sac tumor[J]. J Urol, 2000, 164(6): 1943-1944.
- 10. Monig SP, Schmidt R, Krug B. Yolk Sac tumor of the anterior mediastinum: the role of palliative surgery[J]. Am Surg, 1997, 63(11): 948-950.
- 11. Ikeda H, Matsuyama S, Suzuki N, et al. Treatment of a stageⅠtestiscular yolk sac tumor with vascular invasion[J]. Acta Paediatyica Japonica, 1995, 37(4): 537-540.
- 12. Bruce J, Gough DC. Long-term follow-up of children with testiscular tumor: surgical issues[J]. Br J Urol, 1991, 67(4): 429-433.
- 13. 魯力, 馬建輝, 李長嶺. 睪丸內(nèi)胚竇瘤(附6例報告)[J]. 中國醫(yī)刊, 2005, 40(10): 36-38.
- 14. 葛琳娟, 金百祥, 陳惠方, 等. 睪丸內(nèi)胚竇瘤(附8例報告)[J]. 中華泌尿外科雜志, 1984, 5: 227-228.