睾丸非精原细胞瘤的治疗(附40例临床分析)

Treatment of Malignant Tumor of the Testis Other than Seminoma

目的：分析睾丸非精原细胞瘤的疗效。材料与方法：1975年～1990年收治睾丸非精原细胞瘤40例。大部分行患侧高位结扎精索逆行睾丸肿块切除术，部分行腹膜后淋巴结清扫术（RPLND）。29例行术后放疗，并联合化疗。结果：全组5年生存率为45％，Ⅰ、Ⅱ、Ⅲ期分别为73．9％（17／23），10％（l／10）和0％（O/7）（P＜0．01）。行RPLND者5年生存率为64．3%（9／14）。结论：据文内资料，病期愈早，疗效愈好；睾丸非精原细胞瘤行RPLND存活率高。主要死亡原因是远处转移。

To analyze the treatment result of non-seminoma malignant tumors of the testis. Methods:A series of 40 patients of malignant tumor of testis other than seminoma were treated from 1975 to 1990.Most of them were firstly treated with orchiectomy and minority were treated with plus lymphadenectomy in abdomen cavity. 29 patients were treated with postoperative radiotherapy and small part of them were combined with irreqular chemotherapy. Results: The overall 5-year survival rates were 45%. The 5-year survival rate for stage Ⅰ patients was 73 .9% (17/23), 10% (l/10)for stage Ⅱ and none(0/7) for stage Ⅲpatients. Patients received lymphadenectomy in abdomen cavity with the five year survival rate of 64. 3%(9/14) which was much better than the other two groups. Conclusion: According to our material, the earlier the stage, the better the survival rate. The patients who received lymphadenectomy in abdomen cavitywas with better results. The chief cause of death was distant metastasis.