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本文报道上海市23所医院30年来收治的睾丸肿瘤586例。年龄为8个月至83岁,其中347例(59.2％)在20～40岁。本组生殖细胞瘤占84.8％,非生殖细胞瘤占7.9％,继发性肿瘤4.2%。精原细胞瘤的5年及10年生存率分别为45％及18.6％。非精原细胞生殖细胞瘤的5年及10年生存率分别为26.4％及16％。术后放射治疗对精原细胞瘤患者有效,最长的已生存21年:非精原生殖细胞瘤宜采用睾丸切除和后腹膜淋巴结清除术。
This article reports 58 cases of testicular tumors admitted to 23 hospitals in Shanghai over the past 30 years. They ranged in age from 8 months to 83 years and 347 (59.2%) were in their 20s and 40s. The group of germ cell tumors accounted for 84.8%, non-germ cell tumors accounted for 7.9%, 4.2% of secondary tumors. The 5-year and 10-year survival rates of seminoma were 45% and 18.6%, respectively. The 5-year and 10-year survival rates of nonseminomatous germ cell tumors were 26.4% and 16%, respectively. Postoperative radiotherapy is effective in patients with seminoma, the longest has been living 21 years: non-spermatogenic germ cell tumors should be used orchiectomy and retroperitoneal lymph node dissection.