睾丸生殖细胞肿瘤36例早期诊疗体会

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目的:提高睾丸生殖细胞肿瘤的早期诊断。方法:回顾分析2002-05/2008-10 36例经手术病理证实为原发睾丸肿瘤临床资料。结果:9例患者延迟就医,术前均行彩色多普勒超声,32例表现为肿瘤内部及周边血流改变呈分支状、斑片状。20例CT检查5例示后腹膜淋巴结转移可能,其中4例为病理证实。结论:加强睾丸肿瘤知识的普及、提高自检能力;怀疑肿瘤时应细致体检及常规阴囊超声检查;不能确诊时及早手术探查是提高早期诊断的基本途径。 Objective: To improve the early diagnosis of testicular germ cell tumors. Methods: The clinical data of 36 patients with primary testicular tumor confirmed by surgery and pathology from 2002-05 / 2008-10 were retrospectively analyzed. Results: Nine patients delayed treatment, preoperative color Doppler ultrasound, 32 cases of tumor showed changes in the internal and peripheral blood flow was branched, patchy. 20 cases of CT examination 5 cases of retroperitoneal lymph node metastasis may be, of which 4 cases confirmed by pathology. Conclusion: To strengthen the popularization of testicular tumor knowledge and improve the ability of self-examination; suspect the tumor should be meticulous physical examination and routine scrotal ultrasound; not diagnosed and early surgical exploration is to improve the basic diagnosis of early.
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