摘要
精原细胞瘤约占睾丸生殖细胞瘤的40%,其中大多数为临床Ⅰ期,长期以来经睾丸高位切除术及术后同侧髂血管及腹主动脉旁淋巴结照射是其经典治疗方式,近年来不少肿瘤学家提出单纯腹主动脉旁照射、卡铂化疗及术后单纯随访取得了与同侧髂血管及腹主动脉旁照射同样的近期疗效,且患者不良反应明显减少,但远期疗效尚不明确.
About 40 % of testicular germ-cell tumours are seminomas, and most of them are clinical stage Ⅰ . For a long time, the standard treatment approach for stage Ⅰ testicular seminoma has been radical inguinal orchiectomy followed by radiotherapy to the para-aortic and ipsilateral pelvic lymph nodes. In recent years, many oncologists indicate that the effect of the adjuvant postoperative para-ortic lymph nodal irradiation and chemotherapy using carboplatin is equivalent to para-aortic and ipsilateral pelvic irradiation post orchiectomy for patients with Stage Ⅰ seminoma of the testis, and the side effects is obviously declined, but the long-term side effects are still indefinite. This review presents the treatment development of the stage Ⅰ testicular seminoma after radical inguinal orchiectomy.
出处
《肿瘤研究与临床》
CAS
2010年第8期574-576,共3页
Cancer Research and Clinic
