Wacksman J, Case G, Glenn J F
Urology. 1975 Feb;5(2):221-3. doi: 10.1016/0090-4295(75)90014-x.
Patients with retroperitoneal or mediastinal neoplasms of gonadal tissue type and clinically normal testes pose interesting therapeutic dilemmas. Three major groups of patients are recognized: (1) tumor is primary extragenital gonadal neoplasm; (2) occult microscopic primary neoplasm in a testicle with metastases; (3) area of fibrosis in a testicle representing local regression of tumor, but with distant metastases. Review of case reports often indicates lack of data sufficient for classification. Every effort should be made to group patients into proper categories, since treatment will vary. Two patients classified as group 2 are presented.
患有性腺组织类型的腹膜后或纵隔肿瘤且临床检查睾丸正常的患者面临着有趣的治疗难题。可识别出三大类患者：（1）肿瘤是原发性生殖器外性腺肿瘤；（2）睾丸存在隐匿性微小原发性肿瘤并伴有转移；（3）睾丸中的纤维化区域代表肿瘤局部消退，但伴有远处转移。对病例报告的回顾常常表明缺乏足够的数据进行分类。应尽一切努力将患者归入适当的类别，因为治疗方法会有所不同。本文介绍了两名归类为第2组的患者。
