双侧睾丸肿瘤。

Bilateral testicular tumor.

作者信息

Bach D W, Weissbach L, Hartlapp J H

出版信息

J Urol. 1983 May;129(5):989-91. doi: 10.1016/s0022-5347(17)52502-1.

Abstract

Of 396 cases of bilateral testicular tumors reported in the literature through 1979 the tumors were the same histologically in 217 cases (seminoma in 163 and nonseminoma in 54), different in 47 and malignant lymphomas in 68; no histological details were given in 64 cases. In our 18 cases of bilateral testicular tumors the tumors were the same histologically in 5 patients (seminoma in 4 and nonseminoma in 1), different in 6 and malignant lymphomas in 7. The epidemiology, interval between the first and second tumors, histology, diagnosis, therapy and prognosis are discussed. Diagnostic measures are determined by the histology of the first tumor and its treatment. Therapy of the second tumor depends on the interval between the 2 tumors as well as on histologic differentiation of the second tumor. The exceptions in the diagnosis, therapy and prognosis for malignant lymphomas are discussed. We do not believe that the prognosis in cases of bilateral germinal cell tumors is poor.

摘要

至1979年，文献报道的396例双侧睾丸肿瘤中，217例组织学类型相同（精原细胞瘤163例，非精原细胞瘤54例），47例不同，68例为恶性淋巴瘤；64例未给出组织学细节。在我们的18例双侧睾丸肿瘤中，5例组织学类型相同（精原细胞瘤4例，非精原细胞瘤1例），6例不同，7例为恶性淋巴瘤。本文讨论了双侧睾丸肿瘤的流行病学、首发与继发肿瘤的间隔时间、组织学、诊断、治疗及预后。诊断措施取决于首发肿瘤的组织学类型及其治疗。继发肿瘤的治疗取决于两肿瘤的间隔时间以及继发肿瘤的组织学分化程度。本文还讨论了恶性淋巴瘤在诊断、治疗及预后方面的特殊情况。我们认为双侧生殖细胞肿瘤患者的预后并非很差。