根治性睾丸切除术后出血：是否应考虑改变睾丸癌的分期策略？

Postradical orchiectomy hemorrhage: should an alteration in staging strategy for testicular cancer be considered?

作者信息

Bochner B H, Lerner S P, Kawachi M, Williams R D, Scardino P T, Skinner D G

机构信息

Department of Urology, Kenneth Norris Jr. Cancer Hospital and Research Institute, University of Southern California, Los Angeles 90033, USA.

出版信息

Urology. 1995 Sep;46(3):408-11. doi: 10.1016/S0090-4295(99)80232-5.

DOI:10.1016/S0090-4295(99)80232-5

PMID:7660521

Abstract

We report 3 cases of postradical orchiectomy hemorrhage from separate institutions. The retroperitoneal and pelvic hematoma formed as a complication of orchiectomy can be misinterpreted to represent metastatic disease on postoperative staging computed tomography scans. As a result of inaccurate information obtained from these evaluations, significant alterations in patient management will result. Prevention and early recognition of this complication are crucial if unnecessary treatment is to be avoided.

摘要

我们报告了来自不同机构的3例根治性睾丸切除术后出血的病例。作为睾丸切除术后并发症形成的腹膜后和盆腔血肿，在术后分期计算机断层扫描中可能会被误解为转移性疾病。由于从这些评估中获得的信息不准确，将会导致患者管理方面的重大改变。如果要避免不必要的治疗，预防和早期识别这种并发症至关重要。