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目的 了解儿童生殖系统胚芽细胞瘤的发生、发展、病理分类及临床特点 ,探讨其组织学类型与治疗的相互关系。方法 对近 16年间 2 3例儿童生殖系统胚芽细胞瘤患儿进行回顾性研究。结果 2 3例胚芽细胞瘤包括畸胎瘤、内胚窦瘤、胚胎性癌、混合性胚芽细胞瘤及精原细胞瘤 ,临床特点及治疗方法与组织学分类无明显关系。结论 在胚芽细胞瘤治疗中起决定作用的是手术能否完整切除瘤体 ,其组织学类型与发病部位、治疗方法无一定关系。睾丸胚芽细胞瘤易局限 ,手术完整切除率高。强调早期发现 ,尽早手术。
Objective To understand the occurrence, development, pathological classification and clinical features of children germ cell tumor and to explore the relationship between histological type and treatment. Methods A retrospective study was performed on 23 children with germ cell tumor of germ cell tumor in the recent 16 years. Results 23 cases of germ cell tumor including teratoma, endodermal sinus tumor, embryonal carcinoma, mixed germ cell tumor and seminoma, clinical features and treatment methods and histological classification had no significant relationship. Conclusion In the treatment of germ cell tumor play a decisive role is the complete removal of the tumor can be surgery, the histological type and pathogenesis, treatment methods are not related. Testicular germ cell tumor is limited and the rate of complete resection is high. Emphasize early detection, surgery as soon as possible.