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睾丸切除不充分后髂腹股沟区域保守性手术治疗的病例报告

The case for conservative surgical management of the ilioinguinal region after inadequate orchiectomy.

作者信息

Johnson D E, Babaian R J

出版信息

J Urol. 1980 Jan;123(1):44-6. doi: 10.1016/s0022-5347(17)55773-0.

DOI:10.1016/s0022-5347(17)55773-0
PMID:7351722
Abstract

We describe 16 patients who underwent conservative surgical treatment of the ilioinguinal region after transscrotal orchiectomy had demonstrated a non-seminomatous germ cell tumor. Treatment consisted of an en bloc partial scrotectomy and removal of the remaining spermatic cord, usually through 2 incisions. Residual disease was present in 3 patients (19%) but malignant disease has not recurred in any. It is concluded that an inguinal lymphadenectomy is not warranted routinely in such patients.

摘要

我们描述了16例在经阴囊睾丸切除术后显示为非精原细胞性生殖细胞肿瘤并接受了髂腹股沟区域保守性手术治疗的患者。治疗包括整块部分阴囊切除术和通常通过2个切口切除剩余的精索。3例患者(19%)存在残留病灶,但无一例出现恶性疾病复发。结论是,此类患者通常无需进行腹股沟淋巴结清扫术。

相似文献

1
The case for conservative surgical management of the ilioinguinal region after inadequate orchiectomy.睾丸切除不充分后髂腹股沟区域保守性手术治疗的病例报告
J Urol. 1980 Jan;123(1):44-6. doi: 10.1016/s0022-5347(17)55773-0.
2
Testis tumors: the clinical significance of the tumor-contaminated scrotum.睾丸肿瘤:肿瘤累及阴囊的临床意义。
J Urol. 1984 Jul;132(1):51-4. doi: 10.1016/s0022-5347(17)49460-2.
3
Surgically preventable site of local recurrence of testicular carcinoma.睾丸癌局部复发的手术可预防部位。
Urology. 1986 May;27(5):407-9. doi: 10.1016/0090-4295(86)90403-6.
4
Management of inguinal lymph nodes in patients with testicular tumors following orchiopexy, inguinal or scrotal operations.睾丸固定术、腹股沟或阴囊手术后睾丸肿瘤患者腹股沟淋巴结的处理
J Urol. 1973 Aug;110(2):223-4. doi: 10.1016/s0022-5347(17)60169-1.
5
[The retroperitoneal lymph node resection in testicle tumors].
Bruns Beitr Klin Chir (1971). 1967 May;214(3):364-74.
6
[Is lymphadenectomy in stage I of non-seminomatous testicular cancer still justified?].[非精原细胞瘤性睾丸癌I期行淋巴结清扫术是否仍合理?]
Wien Klin Wochenschr. 1987 Jan 23;99(2):60-3.
7
Inadequate orchiectomy for patients with testicular tumors.睾丸肿瘤患者睾丸切除术不充分。
JAMA. 1973 May 14;224(7):1025-6.
8
Why retroperitoneal lymphadenectomy for testicular tumors?
J Urol. 1978 Jun;119(6):754-8. doi: 10.1016/s0022-5347(17)57622-3.
9
[Current therapeutic orientation toward testicular germ cell tumors].
Minerva Urol Nefrol. 1999 Jun;51(2):113-7.
10
Inguinal lymph node metastases from germ cell testicular tumors.
J Urol. 1984 Mar;131(3):497-500. doi: 10.1016/s0022-5347(17)50465-6.

引用本文的文献

1
Inguinal lymphnode metastatic testicular seminoma: a case report and review of literature.腹股沟淋巴结转移性腺癌:一例病例报告及文献综述
Indian J Surg Oncol. 2012 Mar;3(1):38-40. doi: 10.1007/s13193-011-0116-0. Epub 2011 Dec 23.
2
Inguinal lymph node metastases from a testicular seminoma: a case report and a review of the literature.睾丸精原细胞瘤腹股沟淋巴结转移:一例报告并文献复习
J Med Case Rep. 2010 Nov 25;4:378. doi: 10.1186/1752-1947-4-378.