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目的:探讨临床Ⅰ期尤其是<1岁小儿睾丸卵黄囊瘤治疗方式的选择。临床资料:Ⅰ期10例,其中<1岁7例,Ⅱ期4例,均实行高位精索睾丸切除。9例辅以腹膜后淋巴结清扫,Ⅰ期5例,Ⅱ期4例,仅1例有阳性发现,术后均未行规则的化疗。结果:获访12例中生存9例(<1岁Ⅰ期仅行单纯高位精索睾丸切除5例,腹膜后淋巴结清扫4例,前者全部生存,时间25个月至10年),死亡3例,均大于1岁,死因为肺和腹膜后转移。结论:对无转移及复发的年龄<1岁之Ⅰ期患儿,单纯高位精索睾丸切除是一种简单有效的方法,但应注意分期的准确及密切观察。
Objective: To investigate the clinical stage Ⅰ, especially in children <1 year old testicular yolk sac tumor choice of treatment. Clinical data: Ⅰ stage in 10 cases, of which <1 year old in 7 cases, 4 cases of stage Ⅱ, are implemented high spermatic cord orchiectomy. Nine cases were assisted by retroperitoneal lymph node dissection. There were 5 cases in stage Ⅰ and 4 cases in stage Ⅱ. Only 1 case had positive findings. No regular chemotherapy was performed after operation. Results: Of the 12 cases, 9 cases were alive (5 cases of simple high-spermatic testis in 1-year-old stage Ⅰ, 4 cases of retroperitoneal lymph node dissection, the former all survived for 25 months to 10 years) and 3 died , Were greater than 1 year old, died of lung and retroperitoneal metastasis. Conclusions: Simple high-end spermatic excision is a simple and effective method for stage I children <1 year old without metastasis and relapse, but accurate and close staging should be observed.