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作 者:夏佳东[1] 章宜芬[2] 陈赟[1,2] 朱卫东[1,2] 戴玉田[1,2]
机构地区:[1]南京医科大学附属鼓楼医学院,江苏南京210008 [2]南京医科大学附属鼓楼医院泌尿男科,江苏南京210008
出 处:《现代肿瘤医学》2013年第4期805-808,共4页Journal of Modern Oncology
基 金:国家自然科学基金项目(编号:81170563)
摘 要:目的:提高对睾丸胚胎性横纹肌肉瘤的认识、诊断与治疗水平。方法:回顾性分析3例睾丸胚胎性横纹肌肉瘤患者的临床病理资料,并复习相关文献。结果:3例患者均行根治性睾丸切除术,1例临床分期为Ⅱb期,该患者术后行放疗及化疗,术后9个月后出现全身转移而死亡;2例为Ia期,其术后均行化疗,分别随访32、3个月均未见复发和转移。结论:早期诊断,根治性手术并辅助化疗及放疗是提高患者生存率及延长生存时间的有效手段。Objective:To improve the understanding, diagnosis and treatment of the testicular embryonal rhabdomyosarcoma. Methods: We retrospectively studied the clinicopathological data of 3 cases of testicular embryonal rhabdomyosarcoma and reviewed the relevant literature. Results: All of the 3 cases were treated by radical orchiectomy. Pathologically, 1 case was classified as stage Ⅱb, who received chemotherapy and radiotherapy postoperatively, however, the patient died of systematic metastasis after operation at 9 months ; the other 2 cases received chemotherapy only, both of whom were classified as stage Ⅰa, they remained free from relapse and metastasis followed up for 32,3 months, respectively. Conclusion: Early diagnosis, radical orchiectomy and adjunctive chemotherapy or radiotherapy are effective means to raise the survival rate and extend survival time.
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