睾丸肿瘤87例临床分析

目的:提高睾丸肿瘤的诊治水平。方法:对87例睾丸肿瘤患者临床资料进行分析。结果:经手术和病理诊断,生殖细胞肿瘤79例,占睾丸肿瘤的90.1%;其中精原细胞瘤44例,占生殖细胞肿瘤的55.7%;良性肿瘤7例,占睾丸肿瘤的8.1%。非精原细胞性生殖细胞瘤(NSGCT)发病集中在5岁以下和18~40岁;精原细胞瘤发病集中在18岁之后;5~17岁仅1例发生睾丸肿瘤。精原细胞瘤和NSGCT患者3、5年生存率分别为90.6%、81.3%和83.3%、56.7%。结论:①睾丸肿瘤多为生殖细胞肿瘤;②NSGCT发病集中在5岁以下和18~40岁两个年龄段;③精原细胞瘤很少在17岁之前发病;④5~17岁很少有睾丸肿瘤发生;⑤精原细胞瘤3、5年存活率较NSGCT高。

Clinical Analysis of 87 Cases of Testicular Tumor

OBJECTIVE: To improve the diagnosis and treatment of testicular tumor. METHODS: Eighty-seven cases of testicular tumor were retrospectively studied. RESULTS: Of the total number, 79 cases were pathologically diagnosed as germ cell tumor (90.1%), among which there were 44 cases of seminoma (55.7%) and 7 cases of benign tumor (8.1%). Nonseminoma germ cell tumor (NSGCT) was found mainly among those under 5 and from 18 to 40 years of age, while seminoma chiefly among those beyond 17, and testis tumor was rare among those between 5 and 17 years old (1 case only). Three-year and 5-year survival rates of seminoma and NSGCT were 90.6% and 81.3%, and 83.3% and 56.7%, respectively. CONCLUSION: (1) Testicular tumors are mostly germ cell tumors. (2) NSGCT develops mainly among those under the age of 5 and from 18 to 40. (3) Seminoma is rare in those under 18. (4) Testicular tumor rarely develops among those between 5 and 17 years old. (5)Three-year and 5-year survival rates for seminoma are higher than those for NSGCT.