Steinfeld A D, Macher M S
Division of Radiation Oncology, New York University Medical Center, New York.
Urology. 1990 Nov;36(5):428-30. doi: 10.1016/s0090-4295(90)80290-4.
We investigated the usefulness of chest x-ray (CXR), conventional planar tomography (TOM), and computerized axial tomography (CAT) in evaluating patients with Stages I and II testicular seminoma. All patients had a CXR, and 22 patients had either TOM or CAT as part of initial staging. No occult pulmonary or mediastinal nodal disease was found during initial staging, and none of the patients manifested recurrence of tumor in these sites as a first event. Review of the literature corroborates our finding of a very small thoracic failure rate in early stage seminoma. Routine use of CAT or TOM is not indicated in staging these patients.
我们研究了胸部X线（CXR）、传统平面断层扫描（TOM）和计算机断层扫描（CAT）在评估Ⅰ期和Ⅱ期睾丸精原细胞瘤患者中的作用。所有患者均接受了CXR检查，22例患者在初始分期时接受了TOM或CAT检查。在初始分期期间未发现隐匿性肺部或纵隔淋巴结疾病，且所有患者均未将这些部位的肿瘤复发作为首发事件。文献回顾证实了我们在早期精原细胞瘤中发现的极低胸部失败率这一结果。在这些患者的分期中，不建议常规使用CAT或TOM。
