Matveev B P, Ter'ian A B, Gurskiĭ A G
Urol Nefrol (Mosk). 1994 May-Jun(3):30-3.
Preoperative feasibility of determining operability and the size of retroperitoneal metastases of nonseminoma germ cell tumors of the testes has been analysed retrospectively for excretory urography, venocavography, ultrasound and computed tomography. Out of 47 patients who entered the study 16 underwent explorative and 31 nonradical surgery. Comparisons of the diagnostic to the intraoperative findings for each of the above methods showed the preoperative evidence on the metastases size erroneous in most the cases. It is concluded that present-day criteria of the preoperative diagnosis fail to infer on operability of retroperitoneal metastases. This can be determined only intraoperatively.
对排泄性尿路造影、静脉腔造影、超声和计算机断层扫描进行了回顾性分析，以评估术前确定睾丸非精原细胞瘤性生殖细胞肿瘤的可切除性及腹膜后转移灶大小的可行性。在进入该研究的47例患者中，16例接受了探查性手术，31例接受了非根治性手术。将上述每种方法的诊断结果与术中发现进行比较，结果显示在大多数病例中，术前对转移灶大小的判断有误。结论是，目前的术前诊断标准无法推断腹膜后转移灶的可切除性。这只能在术中确定。
