Base J
Rozhl Chir. 1989 Nov;68(11):776-80.
In a group of 212 patients with germinal tumours of the testicle treated at the urological clinic in Hradec Králové in 1975-1987 there were 7 with an extragonadal tumour in the retroperitoneum. In all the dominating symptom was a palpable resistance in the epigastrium, backache and secondary signs of malignant disease. In the first four a radical extirpation of the tumour was performed, in one with replacement of the aorta always with left nephrectomy. After introduction of cisplatinum into combined chemotherapy this became the initial treatment. Of the seven patients two died from generalization of the basic disease, the third one from exsanguination through an erosion of an aortal graft.
1975年至1987年期间,在赫拉德茨克拉洛韦市泌尿外科诊所接受治疗的212例睾丸生殖细胞瘤患者中,有7例在腹膜后出现性腺外肿瘤。所有患者的主要症状都是上腹部可触及的肿块、背痛以及恶性疾病的继发症状。前4例患者接受了肿瘤根治性切除,其中1例在置换主动脉时总是同时进行左肾切除术。在联合化疗中引入顺铂后,这成为了初始治疗方法。7例患者中,2例死于基础疾病的全身转移,第3例因主动脉移植物侵蚀导致失血过多死亡。