Hornák M, Ondrus D
Department of Urology, Komensky University Medical School, Bratislava, Czechoslovakia.
Int Urol Nephrol. 1988;20(4):395-401. doi: 10.1007/BF02549572.
In a retrospective study of patients treated for germ cell tumours, the authors found seven patients with primary extragonadal tumours in the retroperitoneum. These tumours are, in terms of histology, identical with germ cell tumours of the testis. The disease manifests itself by pain in the kidney region, palpable abdominal mass, weight loss, fever, and gynaecomasty. The diagnosis was confirmed histologically by examining tissue specimens obtained by probatory laparotomy and from the supraclavicular lymph nodes. The choice of therapy and prognosis of disease depend on the histological evidence. Orchiectomy is unnecessary provided both testes are clinically unaltered.
在一项针对生殖细胞肿瘤患者的回顾性研究中，作者发现7例原发性性腺外肿瘤位于腹膜后。就组织学而言，这些肿瘤与睾丸生殖细胞肿瘤相同。该病表现为肾区疼痛、可触及的腹部肿块、体重减轻、发热和男子女性型乳房。通过检查经探查性剖腹术获得的组织标本以及锁骨上淋巴结组织标本，从组织学上确诊了该疾病。治疗方法的选择和疾病的预后取决于组织学证据。如果双侧睾丸在临床上未发生改变，则无需进行睾丸切除术。
