Williams M P, Naik G, Heron C W, Husband J E
CRC Radiology Research Group, Royal Marsden Hospital, Sutton, Surrey.
Clin Radiol. 1987 Nov;38(6):629-33. doi: 10.1016/s0009-9260(87)80345-8.
Thirty-three patients with advanced seminoma of the testis underwent serial computed tomography (CT) of the abdomen before, during and after chemotherapy. The immediate post-chemotherapy CT examination showed significant regression in 29 patients and complete resolution in the remaining four (mean regression 70%). Continued CT follow-up at 1 and 2 years revealed further regression of residual masses without further treatment. We recommend that in this group of patients follow-up CT is carried out immediately after chemotherapy and at 1 year. Provided a satisfactory response is observed no further CT assessment is required unless there is clinical suspicion of relapse.
33例晚期睾丸精原细胞瘤患者在化疗前、化疗期间及化疗后接受了腹部系列计算机断层扫描（CT）检查。化疗后即刻CT检查显示，29例患者有显著消退，其余4例完全消退（平均消退70%）。在1年和2年时持续进行CT随访，发现残余肿块在未进一步治疗的情况下进一步消退。我们建议，对于这组患者，化疗后应立即及在1年后进行CT随访。如果观察到满意的反应，除非有临床复发怀疑，否则无需进一步的CT评估。
