[Treatment of patients with stage I nonseminomal germ cell testicular tumors].

Urologiia i nefrologiia Pub Date : 1999-03-01
N O Arutiunian, K M Figurin, M A Shabanov, S A Tiuliandin
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引用次数: 0

Abstract

Three different approaches to treatment of non-seminomal germinogenic testicular tumors (NSGTT) of stage I after orchidofuniculectomy: preventive retroperitoneal lymphadenectomy, preventive chemotherapy, expectant treatment. Recurrences, 5-year recurrence-free and overall survivals reached 17.4, 81.8 and 95.4%; 6.3, 93.8 and 100%; 33.3, 66.4 and 83.5%, respectively. Progression occurred more frequently in patients having invasion of tumor cells in lymphatic and blood vessels in the primary tumor. The authors conclude on preferable use of preventive chemotherapy after removal of the primary tumor.

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[I期非半细胞生殖细胞睾丸肿瘤患者的治疗]。
输卵管输卵管切除术后一期非半精细胞性生殖性睾丸肿瘤(NSGTT)的三种不同治疗方法:预防性腹膜后淋巴结切除术、预防性化疗、期待性治疗。复发率、5年无复发率和总生存率分别为17.4%、81.8%和95.4%;6.3、93.8、100%;分别为33.3%、66.4和83.5%。在原发肿瘤的淋巴和血管中浸润肿瘤细胞的患者中,进展更为频繁。作者总结了原发肿瘤切除后预防性化疗的优越性。
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