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作者回顾分析1964~1988年74例Ⅰ-Ⅱ期精原细胞瘤治疗的经验。均为单纯放疗,化疗仅作为补救。随访期2~25年,平均9年。年龄20~68岁,平均39岁。67例为单侧睾丸(右侧37例,左侧30例)。1970年后作肿瘤标记物,1例β-HCG轻度升高,无AFP升高者。均有胸片,80%作了淋巴造影,70%作了IVP,50%作厂腹部CT。按安得孙医院分期系统分期。Ⅱ_B6例者均扪及腹部肿块,最大直径12~18cm,Ⅲ期8例中5例可扪及腹部肿块,7~12cm。
The authors reviewed the experience of treatment of 74 cases of stage I-II seminocytomas from 1964 to 1988. All are radiotherapy alone, chemotherapy is only a remedy. The follow-up period was 2 to 25 years, with an average of 9 years. Age 20 to 68 years old, average 39 years old. 67 cases were unilateral testis (37 cases on the right and 30 cases on the left). After 1970 as a tumor marker, 1 case of mild elevation of β-HCG, no increase in AFP. All had chest radiographs, 80% had lymphography, 70% had IVP, and 50% had abdominal abdomen CT. According to the Andersen Hospital stage system. II_B6 cases were abdominal and abdominal masses, the largest diameter of 12 ~ 18cm, 8 of the 8 cases of 5 patients can be palpable and abdominal mass, 7 ~ 12cm.