21例原发性睾丸淋巴瘤临床诊治分析  

Analysis of Clinical Diagnosis and Treatment of 21 Patients with Primary Testicular Lymphoma

作　　者：谢宇[1] 韩惟青[1] 裴夏明[1] 刘志中[1] 曾福华[1] 易平勇[2] 

机构地区：[1]湖南省肿瘤医院泌尿外科,湖南长沙410013 [2]湖南省肿瘤医院淋巴血液内科,湖南长沙410013

出　　处：《医学临床研究》2013年第8期1579-1581,共3页Journal of Clinical Research

摘　　要：【目的】研究原发性睾丸淋巴瘤的临床和病理特征，探讨其最佳诊治方法。【方法】回顾性分析21例原发性睾丸淋巴瘤的临床资料。【结果]21例患者均接受根治性睾丸切除术，18例接受化疗，6例接受放疗，3例未接受放化疗。随访12～101个月（中位随访时间29个月）11例存活，10例死亡。【结论】原发性睾丸淋巴瘤应采用综合治疗，建议手术后患者采用化疗和放疗，大剂量MTX可预防中枢神经系统复发。[Objective]To investigate clinical and pathological features of primary testicular lymphoma, and explore the best diagnosis and treatment method. [Methods]Clinical data of 21 patients with primary tes- ticular lymphoma were analyzed retrospectively. [Results] All 21 patients underwent radical orchiectomy. A- mong them, 18 patients received chemotherapy, and 6 patients received radiotherapy, and 3 patients did not received chemotherapy or radiotherapy. The 11 patients were followed up and still alive, and 10 patients died. [Conclusion] Primary testicular lymphoma should be treated by multi-modality treatment. It is recommended that patients after operation are treated by chemotherapy and radiotherapy. Large dose of MTX can prevent the recurrence of central nervous system disease.

关 键 词：淋巴瘤 诊断 淋巴瘤 治疗 睾丸肿瘤 诊断 睾丸肿瘤 治疗 

分 类 号：R737.21[医药卫生—肿瘤]