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睾丸内胚窦瘤一般见于婴儿和儿童,成人较少。我院建院22年来,仅遇见成人睾丸内胚窦瘤2例。现报告并结合文献讨论如下。一、病例报告例1 男,43岁:住院号40428。左侧睾丸肿块2个月,于1982年12月在某医院作左睾丸切除术。病理报告为左睾丸内胚窦瘤。当时未有化疗。术后5月胸片检查,发现双下肺有多个圆形转移病灶。用DTIC 200mg、Adriamycin 50mg、CTX 200mg、VCR 1mg静脉滴注,每3周1次,共6次。1983年1月因肺转移8个月未消,转入我院。检查:发育正常,腹部未触及包块,无发热。胸片见双肺多个散在的圆形阴影,最大直径2.5cm,用DDP100mg+5％葡萄糖注射液250ml静脉滴注1次,BLM10mg肌注,隔天1次,共5次。化疗一疗程未完,因故出院,未按计划预约回来继续化疗,失访。
Testicular endodermal sinus tumors are generally found in infants and children and are less common in adults. In the 22 years since our hospital was established, only 2 adult testicular endodermal sinus tumors have been encountered. The present report and the combined literature are discussed below. Case report 1 Male, 43 years old: Hospital number 40428. The left testicular mass was 2 months old and left orchiectomy was performed in a hospital in December 1982. The pathology report was a left testicular endodermal sinus tumor. There was no chemotherapy at the time. A chest radiograph was performed 5 months after surgery and multiple circular metastatic lesions were found in the lower lung. DTIC 200 mg, Adriamycin 50 mg, CTX 200 mg, VCR 1 mg intravenously, every 3 weeks for a total of 6 times. In January 1983, he had been transferred to our hospital because of lung metastasis for 8 months. Examination: normal development, no palpable mass in abdomen, no fever. Chest radiographs showed multiple scattered round shadows of the lungs, the maximum diameter of 2.5cm, with DDP100mg + 5% glucose injection intravenously 250ml 1, BLM10mg intramuscular injection, every other day, a total of 5 times. One course of chemotherapy has not been completed. She was discharged from the hospital for some reason. She did not make an appointment to return to chemotherapy and missed the visit.