Chisholm E M, Jones W G, Shiels R A, Robinson P J
Clin Radiol. 1984 Nov;35(6):441-2. doi: 10.1016/s0009-9260(84)80037-9.
A study to assess the role of computed tomography (CT) in the management of testicular seminoma showed that CT was of value in defining the extent of bulky abdominal disease at initial staging. After radiotherapy for Stage IIc disease, relapse by 1 year was common and predominantly extra-abdominal. Mediastinal relapse was detected by CT in the absence of raised serum tumour markers or changes on the chest radiograph. It was concluded that CT should be used at initial staging only to assess the volume of bulk disease shown by lymphangiography, that no benefit seemed to accrue from CT scanning of Stage I and IIa patients and that the follow-up of Stage IIb and IIc patients requires regular CT surveillance in the first year, irrespective of clinical status.
一项评估计算机断层扫描（CT）在睾丸精原细胞瘤管理中作用的研究表明，CT在初始分期时确定腹部大块病灶范围方面具有价值。对IIc期疾病进行放疗后，1年内复发很常见，且主要是腹外复发。在血清肿瘤标志物未升高或胸部X线片无变化的情况下，CT检测到纵隔复发。得出的结论是，CT仅应在初始分期时用于评估淋巴管造影显示的大块病灶体积，对I期和IIa期患者进行CT扫描似乎没有益处，并且IIb期和IIc期患者在第一年的随访需要定期进行CT监测，无论临床状况如何。
