Granetzny A, Winter J, Kantartzis M, Steinbach M, Borchard F, Jungblut M R, Schulte H D
Klinik für Thorax- und Kardiovaskuläre Chirurgie, Heinrich-Heine-Universität Düsseldorf.
Langenbecks Arch Chir. 1995;380(3):149-53. doi: 10.1007/BF00207720.
This is a report on three patients with primary mediastinal seminoma. Two patients had no symptoms, and one had had thoracic pain for the last few years. The preoperative diagnosis was thymoma in all cases, and in one patient the radiologist had suspected a seminoma. We removed the tumor after performing median sternotomy (n = 2) and anterolateral left thoracotomy (n = 1). The presence of a primary gonadal seminoma was excluded with a urological and ultrasound examination. All patients are still alive following adjuvant chemotherapy (n = 2; 120 and 8 months) and radiotherapy (n = 1; 84 months). Chemotherapy consisted of four cycles of cisplatin, etoposide and ifosfamide or combination therapy with cisplatin, bleomycin and velbe.
这是一篇关于三名原发性纵隔精原细胞瘤患者的报告。两名患者无症状，一名患者在过去几年中有胸痛症状。所有病例术前诊断均为胸腺瘤，其中一名患者放射科医生怀疑为精原细胞瘤。我们通过正中胸骨切开术（n = 2）和左前外侧开胸术（n = 1）切除肿瘤。通过泌尿外科检查和超声检查排除了原发性性腺精原细胞瘤的存在。所有患者在接受辅助化疗（n = 2；分别为120个月和8个月）和放疗（n = 1；84个月）后均存活。化疗方案为顺铂、依托泊苷和异环磷酰胺四个周期，或顺铂、博来霉素和长春地辛联合治疗。
