Raghavan D
Department of Clinical Oncology, Royal Prince Alfred Hospital, Sydney, New South Wales.
Aust Fam Physician. 1990 Jun;19(6):865-75.
There is little public awareness that testicular cancer is the commonest malignancy in men aged 20 to 44 years. Early diagnosis correlates with an improved chance of cure and a reduction in the severity of treatment. There have been major advances in treatment in the past decade, so that 80 per cent of patients with metastases can expect a cure. The family practitioner must be active in the management of this disease by educating his or her patients, by remaining vigilant to the possible diagnosis of this entity, and by referring patients to specialist urologists or to cancer centres with a specific interest and expertise in the management of this disease. With the vast improvement in techniques of management, when applied in specialist centres, errors of clinical judgment by inexperienced practitioners could now become the commonest cause of death from this disease.
很少有公众意识到睾丸癌是20至44岁男性中最常见的恶性肿瘤。早期诊断与治愈几率的提高以及治疗严重程度的降低相关。在过去十年中，治疗方面取得了重大进展，因此80%的转移性患者有望治愈。家庭医生必须积极参与这种疾病的管理，通过教育患者，保持对这种疾病可能诊断的警惕，并将患者转诊给在这种疾病管理方面有特定兴趣和专业知识的专科泌尿科医生或癌症中心。随着管理技术的巨大进步，在专科中心应用时，经验不足的从业者的临床判断失误现在可能成为这种疾病最常见的死亡原因。
