Piot G, Droz J P, Caillaud J M, Bellet D, Wibault P, Brulé G, Amiel J L
J Urol (Paris). 1983;89(1):49-51.
18 relapses of non seminomatous germ cell cancer of the testis are studied, among a group of 112 patients treated from 1974 to 1978, of which 90 are in complete remission. The study of these cases shows the bad prognosis value of yolk sac tumor component at histological examination. Relapses are more frequent in the stages with lymph node involvement treated by retroperitoneal lymphadenectomy followed by chemotherapy without cis-platinum. Cis-platinum chemotherapy decreases relapse rate in theses stages and increases complete remission rate in metastatic stages.
对1974年至1978年期间接受治疗的112例睾丸非精原细胞瘤患者中的18例复发情况进行了研究,其中90例处于完全缓解状态。对这些病例的研究表明,组织学检查时卵黄囊瘤成分的预后价值较差。在接受腹膜后淋巴结清扫术加不含顺铂的化疗的有淋巴结受累的分期中,复发更为频繁。顺铂化疗可降低这些分期的复发率,并提高转移分期的完全缓解率。