睾丸内胚窦瘤的诊断和治疗体会(附5例报告)

Diagnose and therapy of Yolk sac tumor of testis(Report of 5 cases)

目的：探讨睾丸内胚窦瘤的诊断和治疗方法，提高其诊治水平。方法：对5例睾丸内胚窦瘤患者的临床资料进行回顾性分析。结果：5例患者术前均行AFP、阴囊彩超、全胸片及盆腔CT检查，并行患侧睾丸肿瘤根治术，术后辅以化疗，随诊1～5年，未发现复发及远处转移。结论：AFP结合阴囊彩超检查能提高睾丸内胚窦瘤的诊断率；早期诊断和睾丸肿瘤根治术辅以术后化疗能提高其治愈率。

Objective：To investigate and to raise the level of diagnose and therapy of Yolk sac tumor of testis. Methods：Five cases of Yolk sac tumor of testis from January 1995 to December 2005 were studied. Results： 5 cases were treated with AFP, B ultrasound, sternite and cavitas pelvis computerized tomography before operation. Radical orchiectomy and post-operative chemotherapy were performed in all cases. Follow-up for 1 to 5 years, no local recurrence and distant metastasis were found. Conclusions： AFP combined with B ultrasound can rise diagnose ratio of Yolk sac tumor of testis. Early diagnosis and combined therapy including radical orchiectomy and chemotherapy can improve the cure rate significantly.