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纵隔生殖细胞癌(附三例报告及文献复习)
引用本文:张逊,宋玉忱,陈东鸿,张振坤,王晓玲,吴国祥. 纵隔生殖细胞癌(附三例报告及文献复习)[J]. 河北医科大学学报, 1992, 0(3)
作者姓名:张逊  宋玉忱  陈东鸿  张振坤  王晓玲  吴国祥
作者单位:河北医学院附属四院胸外科,河北医学院附属四院胸外科,河北医学院附属四院胸外科,河北医学院附属四院胸外科,河北医学院附属四院病理科,河北医学院附属四院病理科 本科进修医师
摘    要:
本文报告8例纵隔生殖细胞癌,均位于前上纵隔并与胸腔内大血管融合固定。剖胸探查后,2例给予放疗,1例给予化疗,治疗效果比较满意。时间最长的1例放疗后6年仍健在,说明本肿瘤属于相对低度恶性和对放疗、化疗高度敏感性肿瘤。术前放疗既有利于鉴别诊断,又可提高手术切除率。本文结合文献,对纵隔生殖细胞癌的命名、来源、病理诊断及治疗进行讨论。

关 键 词:纵隔  生殖细胞癌  手术  放疗  化疗

MEDIASTINAL GERM CELL CARCINOMA (REPORT OF 3 CASES & REVIEW OF LITERATURE)
Zhang Xun Song Yuchen Chen Donghong Zhang Zhenkun. MEDIASTINAL GERM CELL CARCINOMA (REPORT OF 3 CASES & REVIEW OF LITERATURE)[J]. Journal of Hebei Medical University, 1992, 0(3)
Authors:Zhang Xun Song Yuchen Chen Donghong Zhang Zhenkun
Affiliation:Zhang Xun Song Yuchen Chen Donghong Zhang Zhenkun Department of Thoracic Surgery,Fourth Affiliated Hospital Wang Xiaoling Wu Guoxiang Department of Pathology,Fourth Affiliated Hospital
Abstract:
The article reports 3 cases of mediastinal germ cell carcinoma. The tumors all lined at the anterior-superior mediastinum and invaded the large vessels in the thorax. After thoracotomy, 2 cases were given radiotherapy and 1 case was given chemotherapy. The results of the treatment were well. One of the cases has lived for 6 years after radiotherapy. It shows that the tumor is lower malignancy and hypersensitive to radiotherapy and chemotherapy. Preoperative radio therapy is a method of differential diagnosis and may increase resection rate. Finally, the terminology, pathologic diagnosis and treatment of this tumor are discussed.
Keywords:mediastinum  germ cell carcinoma  operation  radiotherapy  chemotherapy
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