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目的 提高睾丸内胚窦瘤的诊治水平。 方法 对收治 4例睾丸内胚窦瘤的诊治资料进行分析。 结果 4例均行患侧睾丸肿瘤根治术及腹膜后淋巴结清扫术 (RPLND) ,术后辅以化疗。随访 6个月至 7年 ,无局部复发及远处转移。 结论 根治术加化疗、放疗能明显提高睾丸内胚窦瘤的治愈率 ,对青少年患者不必常规行RPLND ,AFP可作为观察疗效的指标。
Objective To improve the diagnosis and treatment of testicular endodermal sinus tumors. Methods The diagnosis and treatment data of 4 cases of testicular endodermal sinus tumors were analyzed. Results All patients underwent radical resection of ipsilateral testicular tumors and retroperitoneal lymphadenectomy (RPLND). Postoperative chemotherapy was supplemented. Follow-up from 6 months to 7 years, no local recurrence and distant metastasis. Conclusion Radical surgery combined with chemotherapy and radiotherapy can significantly improve the cure rate of testicular endodermal sinus aneurysm. It is not necessary for young patients to routinely undergo RPLND. AFP can be used as an indicator of efficacy.