Jaszczyński Janusz, Chłosta Piotr, Faron Piotr, Strach Andrzej, Jakubik Piotr, Wilk Wacław, Luczyńska Elżbieta, Anioł Joanna, Skotnicki Piotr, Jakubowicz Jerzy, Stelmach Andrzej
Surgical Oncology Clinic, Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Cracow, Poland.
Pol J Radiol. 2011 Apr;76(2):22-4.
The incidence of testicular tumors in Poland accounts for 2.4 new cases per 100.000 men a year. When investigating the incidence with regard to age, we may notice three age ranges with the highest incidence rate: babyhood, 25-40 years of age, and age of about 60 years. A routine examination in patients with testicular cancer after the first course of chemotherapy is computed tomography of the retroperitoneal space which aims to exclude the presence of residual masses and to assess the effectiveness of the treatment.
The assessment of the effectiveness of computed tomography in the intraoperative investigation of patients with nonseminoma testicular tumors after chemotherapy.
MATERIAL/METHOD: This detailed retrospective analysis included 182 men with nonseminoma testicular tumor treated at the Center of Oncology in Cracow, between the yeas 1990-1999. Men with tumors in stage from IA to IIC made up 79.68% of the patients. Twenty patients after chemotherapy, with residual masses in the retroperitoneal cavity revealed in computed tomography, underwent retroperitoneal lymphadenectomy. The investigation was carried out with GE CT spiral scanner before and after intravenous contrast administration.
Computed tomography is a method of a satisfactory sensitivity in the assessment of residual masses in the retroperitoneal cavity in postchemotherapy patients, as concerns the location of the tumor, its size, number of foci, and the fact whether it can be operated on or not. Together with tumor markers, it allows for a precise qualification to retroperitoneal lymphadenectomy of residual masses in postchemotherapy patients.
在波兰，睾丸肿瘤的发病率为每年每10万名男性中有2.4例新发病例。在按年龄调查发病率时，我们可能会注意到三个发病率最高的年龄范围：婴儿期、25至40岁以及约60岁。睾丸癌患者在首次化疗疗程后的常规检查是腹膜后间隙的计算机断层扫描，其目的是排除残留肿块的存在并评估治疗效果。
评估计算机断层扫描在化疗后非精原细胞瘤性睾丸肿瘤患者术中检查中的有效性。
材料/方法：这项详细的回顾性分析纳入了1990年至1999年间在克拉科夫肿瘤中心接受治疗的182例非精原细胞瘤性睾丸肿瘤男性患者。IA至IIC期肿瘤患者占患者总数的79.68%。20例化疗后计算机断层扫描显示腹膜后腔有残留肿块的患者接受了腹膜后淋巴结清扫术。使用GE螺旋CT扫描仪在静脉注射造影剂前后进行检查。
计算机断层扫描是一种在评估化疗后患者腹膜后腔残留肿块方面具有令人满意敏感性的方法，涉及肿瘤的位置、大小、病灶数量以及是否可进行手术等方面。与肿瘤标志物一起，它能够对化疗后患者残留肿块进行腹膜后淋巴结清扫术的精确评估。
