Dieckmann K P, Hamm B, Düe W, Bauer H W
Urologische Klinik, Freie Universität, Berlin.
Urol Int. 1988;43(5):305-9. doi: 10.1159/000281362.
A 32-year-old male presented with simultaneous bilateral germ cell tumors of the testicles. Histological examination revealed dissimilar histology in both testes showing pure seminoma in the left side and mature teratoma with malignant transformation in the right testicle. A survey of the literature revealed a total of 151 previously described cases of synchronous bilateral germ cell tumors, the majority of which presenting as bilateral seminoma. Treatment of synchronous bilateral germ cell tumors with dissimilar histology should consist of bilateral orchiectomy and bilateral retroperitoneal lymph node dissection.
一名32岁男性患者出现双侧睾丸同时性生殖细胞肿瘤。组织学检查显示双侧睾丸组织学不同，左侧为纯精原细胞瘤，右侧睾丸为成熟畸胎瘤伴恶性转化。文献检索发现共有151例先前描述的同步双侧生殖细胞肿瘤病例，其中大多数表现为双侧精原细胞瘤。对组织学不同的同步双侧生殖细胞肿瘤的治疗应包括双侧睾丸切除术和双侧腹膜后淋巴结清扫术。
