摘要
目的总结隐睾及隐睾下降固定术后睾丸恶变的诊治经验。方法回顾性总结外科手术治疗的28例隐睾术后睾丸恶变患者诊治资料。结果 28例患者隐睾下降固定术年龄2～28岁,中位年龄12岁,平均年龄16岁。睾丸肿瘤发病年龄19～53岁,中位年龄33岁,平均发病年龄36岁,发生恶变距手术时间3-25年,平均时间18年。隐睾同侧恶变27例,对侧恶变1例,27例行根治睾丸肿瘤切除。病理类型以精原细胞瘤为主。腹膜后淋巴结清扫3例,化疗18例,放疗3例。结论隐睾下降固定术应早期施行,但不能减少恶变风险,术后必须严密监测随访。
Objective To review the occurrence of testicular cancer after surgical treatment of cryptorchidism.Methods The clinical data of 28 cases of testicular cancer after surgical treatment of cryptorchidism were retrospectively reviewed.Results Twenty-eight patients with cryptorchidism underwent orchidopexy at the age of 2～28 y（median 12 y）.Testicular cancer occurred at the age of 19～53 y（median 33 y）;it took 3～25 y（average 18 y） for malignant transformation to occur.Ipsilateral malignant transformation occurred in 27 cases and contralateral in 1 case;27 underwent radical resection of testicular cancer.Pathological classification of testicular cancer dominantly was seminoma.Retroperitoneal lymph node dissection was performed in 3 cases,chemotherapy in 18 cases and radiotherapy in 3 cases.Conclusion Treatment of cryptorchidism should be performed early,but it can not reduce the risk of malignant transformation,patients must be closely followed-up.
出处
《实用肿瘤杂志》
CAS
北大核心
2010年第4期450-452,共3页
Journal of Practical Oncology
关键词
睾丸肿瘤/治疗
隐睾/外科学
隐睾/病理学
组织固定
testicular neoplasms/therapy
cryptorchidism/surgery
cryptorchidism/pathology
tissue fixation
