睾丸肿瘤87例临床分析  

Clinical Analysis of 87 Cases of Testicular Tumor

作　　者：郑连文[1] 李付彪[2] 刘睿智[1] 吉日嘎拉[2] 赵忠文[2] 

机构地区：[1]吉林大学基础医学院细胞生物学教研室,吉林长春130021 [2]吉林大学第一临床医院泌尿外科,吉林长春130021

出　　处：《中华男科学杂志》2005年第6期445-447,共3页National Journal of Andrology

摘　　要：目的:提高睾丸肿瘤的诊治水平.方法:对87例睾丸肿瘤患者临床资料进行分析.结果:经手术和病理诊断,生殖细胞肿瘤79例,占睾丸肿瘤的90.1%;其中精原细胞瘤44例,占生殖细胞肿瘤的55.7%;良性肿瘤7例,占睾丸肿瘤的8.1%.非精原细胞性生殖细胞瘤(NSGCT)发病集中在5岁以下和18～40岁;精原细胞瘤发病集中在18岁之后;5～17岁仅1例发生睾丸肿瘤.精原细胞瘤和NSGCT患者3、5年生存率分别为90.6%、81.3%和83.3%、56.7%.结论:①睾丸肿瘤多为生殖细胞肿瘤;②NSGCT发病集中在5岁以下和18～40岁两个年龄段;③精原细胞瘤很少在17岁之前发病;④5～17岁很少有睾丸肿瘤发生;⑤精原细胞瘤3、5年存活率较NSGCT高.Objective: To improve the diagnosis and treatment of testicular tumor. Methods: Eighty-seven cases of testicular tumor were retrospectively studied. Results: Of the total number, 79 cases were pathologically diagnosed as germ cell tumor( 90.1%), among which there were 44 cases of seminoma ( 55.7%) and 7 cases of benign tumor( 8.1%). Nonseminoma germ cell tumor (NSGCT) was found mainly among those under 5 and from 18 to 40 years of age, while seminoma chiefly among those beyond 17, and testis tumor was rare among those between 5 and 17 years old(1 case only). Three-year and 5-year survival rates of seminoma and NSGCT were 90.6% and 81.3%, and 83.3% and 56.7%, respectively. Conclusion: ①Testicular tumors are mostly germ cell tumors. ②NSGCT develops mainly among those under the age of 5 and from 18 to 40. ③Seminoma is rare in those under 18. ④Testicular tumor rarely develops among those between 5 and 17 years old. ⑤Three-year and 5-year survival rates for seminoma are higher than those for NSGCT.

关 键 词：睾丸肿瘤 诊断 治疗 

分 类 号：R737.21[医药卫生—肿瘤]