睾丸非精原细胞瘤腹膜后淋巴结组织清除术(附2例报告并文献复习)

Retroperitoneal lymphadenectomy after orchiectomy for nonseminomatous testicular cancer

目的 探讨睾丸非精原细胞瘤 (NonseminomatousgermcelltesticularcancerNSGCTC)治疗方法的选择 ,手术切口 ,治疗效果及手术范围。方法 回顾分析 2例患者的临床资料及术后随访 ,结合文献复习进行讨论。结果 2例术后病理证实为睾丸胚胎性癌 ,均行睾丸根治性切除加保留神经的腹膜后淋巴结清除术 ,随访至今无复发 ,均有射精能力。结论 根治性睾丸切除术加改良的腹膜后淋巴结清除术是非精原细胞瘤较理想的 ,有效的治疗手段。清扫区域应视分期而定。

Objective To investigate the therapeutic effects of retroperitoneal lymphadenectomy following orchiecfomy for the patients with nonseminomatiris germ cell cancer of the testis.Methods The clinical data and the follow-up data of 2 cases were used for analysing.Results The 2 patients proved to suffer from embryonal carcinoma of the testis by pathology, were undertaken retroperitoneal lymph adenectomy with in 2 weeks after orchiectomy ,they no relapse and kept the capability of ejaculation in the following-up period of 6 to 12 months.Conclusions Radical orchiectomy followed by retroperitoneal tymph node dissection are secure and effective measures for treating nonseminomatous testicular cancer. The area of lymphadenectimy should be based upon the clinical stage.