Johnson D E, Babaian R J
J Urol. 1980 Jan;123(1):44-6. doi: 10.1016/s0022-5347(17)55773-0.
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.
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。