摘要
16例临床Ⅰ期睾丸非精原细胞瘤（NSGCTT）患者在单纯切除睾丸肿瘤后，不按常规行腹膜后淋巴结清扫、放疗、化疗，而采取监视治疗方案，即术后两周开始复查血清HCG、AFP，两月开始复查胸腹部CT，每两个月一次，连续2年以上，结果12例无复发，复发的4例中有2例术后瘤标持续升高，另2例瘤标下降后分别在第4月、第8月再次升高。给予PVB化疗后，4例患者瘤标恢复正常，病灶消失，认为监视治疗对临床Ⅰ期NSGCTT有效。
sixteen patients in the clinical stage I of nO~~tous testicular turno rs (NSGCTT) after orchiectomy had not customarily undergone retroperitoneal lyTnph 'the dissections and chernotherapy orradiotherapy,but had undergone monitorial - treatment. Form 2 weeks after orchiectomy serum levis ofhuman chorionic gonadotropin (HCG ) and a - fetoprotein (AFP ) of all patients had beenexamined, and after 2months postoperatively examined abdominal and chest by computerized tomography(CT), and it is oncePer 2 months and continuously for 2 years. The resultS showed: 12 patients had not relapsed, of the 4relaPSing cases 2 had Persistent elevation of tumor markers postoperatively, 2 had again elevation at the 4thmonth and the sib month respeCtively after tumor markers decreasing Postoperatively. All 4 relapsingpatients had tumor markers normal and nedasrn disappeared after PVB chemotherapy. We suggest thatmonitored - treatment have effect on Patients in the dimeal stage I of nonseminatous testicular tumors.
出处
《中国男科学杂志》
CAS
CSCD
1998年第4期206-208,共3页
Chinese Journal of Andrology
