Cársky S, Ondrus D, Schnorrer M, Matoska J, Belan V, Hornák M, Zvara V, Cerný J
Chirugická klinika NsP akademika L. Dérera, výucbová základna Katedry chirurgie ILF, Bratislava.
Rozhl Chir. 1991 Feb;70(1-2):106-11.
Advances in chemotherapy achieved a high percentage of complete remission after primary cytostatic treatment in germinal testicular tumours. In 30-40% of patients in the IVth stage of the disease supplementary surgery is, however, necessary--retroperitoneal lymphadenectomy or metastasectomy of the lungs. The authors give an account of initial results of surgical removal of metastases in the lungs in seven patients of 48 treated with cytostatics on account of a germinal testicular tumour. The low risk of thoracotomy, if correctly indicated, justifies us to describe this operation not only as auxiliary but therapeutic.
化疗进展使原发性生殖细胞性睾丸肿瘤在初次细胞抑制治疗后达到了较高的完全缓解率。然而，在疾病IV期的患者中，30% - 40%需要进行辅助手术——腹膜后淋巴结清扫术或肺部转移灶切除术。作者介绍了48例因生殖细胞性睾丸肿瘤接受细胞抑制剂治疗的患者中，7例肺部转移灶手术切除的初步结果。开胸手术风险低，如果指征明确，这使我们有理由不仅将此手术描述为辅助性的，而且是治疗性的。
