Cantwell B M, Mannix K A, Harris A L
Lancet. 1987 Jan 31;1(8527):262-4. doi: 10.1016/s0140-6736(87)90075-4.
9 patients (21%) from a total of 42 young men with testicular germ cell malignancy had back pain as a major presenting symptom; 2 had back pain without unilateral testicular enlargement. Time to correct diagnosis from first visit to a doctor was significantly longer in those with back pain than in those with testicular symptoms. All patients with back pain had para-aortic node metastases. Young men with back pain should be examined for testicular disease and should also be asked about past testicular abnormalities.
在42例睾丸生殖细胞恶性肿瘤的年轻男性患者中，9例（21%）以背痛作为主要首发症状；其中2例背痛患者无单侧睾丸肿大。从首次就诊到正确诊断的时间，背痛患者显著长于有睾丸症状的患者。所有背痛患者均有腹主动脉旁淋巴结转移。有背痛的年轻男性应检查是否患有睾丸疾病，还应询问既往睾丸异常情况。
