Smith D B, Newlands E S, Rustin G J, Begent R H, Bagshawe K D
Department of Medical Oncology, Charing Cross Hospital, London.
Br J Urol. 1989 Sep;64(3):302-4. doi: 10.1111/j.1464-410x.1989.tb06018.x.
In a series of 114 stage 1 testicular tumour patients managed by a surveillance policy there have been 26 relapses. Three of these patients presented with lumbar pain as the first sign of relapse. All 3 were tumour marker non-producers and the onset of pain pre-dated radiological abnormality by up to 4 months. Stage 1 surveillance patients who develop lumbar pain must be considered to be at high risk of relapse to avoid delay in diagnosis which may prejudice survival.
在一系列采用监测策略管理的114例1期睾丸肿瘤患者中，有26例复发。其中3例患者以腰痛作为复发的首发症状。所有3例患者肿瘤标志物均不产生，疼痛出现比影像学异常早达4个月。1期监测患者若出现腰痛，必须被视为复发高危，以避免诊断延误，否则可能影响生存。
