小儿睾丸卵黄囊瘤治疗体会  

The Treatment of Yolk Sac Tumor of Testis in Children:a Report of 14 Cases

作　　者：刘国昌[1] 耿进妹[2] 王春华[1] 王圣石[1] 

机构地区：[1]山东省济宁市第一人民医院小儿外科,272111 [2]济宁医学院

出　　处：《中华小儿外科杂志》1997年第1期39-40,共2页Chinese Journal of Pediatric Surgery

摘　　要：目的:探讨临床Ⅰ期尤其是<1岁小儿睾丸卵黄囊瘤治疗方式的选择。临床资料:Ⅰ期10例,其中<1岁7例,Ⅱ期4例,均实行高位精索睾丸切除。9例辅以腹膜后淋巴结清扫,Ⅰ期5例,Ⅱ期4例,仅1例有阳性发现,术后均未行规则的化疗。结果:获访12例中生存9例(<1岁Ⅰ期仅行单纯高位精索睾丸切除5例,腹膜后淋巴结清扫4例,前者全部生存,时间25个月至10年),死亡3例,均大于1岁,死因为肺和腹膜后转移。结论:对无转移及复发的年龄<1岁之Ⅰ期患儿,单纯高位精索睾丸切除是一种简单有效的方法,但应注意分期的准确及密切观察。Objcetive:This paper discusses the optimal treatment for yolk sac tumor of the testis of stage I in childhood.Methods:Fourteen children with yolk sac tumor(stage Ⅰ 10,stage Ⅱ 4)underwent orchiectomy.Seven cases of stage Ⅰ were under 1 year of age.Retroperitoneal lymphadenectomy was done in 9 cases at the same time,only one found metastasis in lymph nodes.Postoperative systemic chemotherapy was not given.Results:Twelve cases have got a fol- low-up.Of them.9 cases who received operation under one year of age survived(followed-up from 25 mons to 10 yrs)and 3(older than 1 year)died of pulmonary or retroperitoneal metasta- sis.Conclusions:Orchiectomy is a simple and effective treatment for infants(<1 year)with yolk sac tumor in stage Ⅰ and gives rise to a tumor-free survival.

关 键 词：睾丸肿瘤 中肾瘤 切除术 儿童 

分 类 号：R737.210.5[医药卫生—肿瘤] R730.56[医药卫生—临床医学]