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患者李××,男,59岁。1993年3月因左侧睾丸无痛性肿大在哈铁中心医院诊为“左侧睾丸结核”,行规律抗结核治疗一个月,症状加重,转入省肿瘤医院。诊为“睾丸精原细胞瘤”,行“左侧睾丸切除术”,术后病理为“睾丸恶性淋巴瘤”,又行“后腹膜清扫术”,术后未作抗肿瘤治疗。一年出现头痛、鼻塞、血涕,在哈铁中心医院CT诊为“恶性淋巴瘤颅底侵犯”,到哈铁肿瘤医院行全脑照射,DT:50GY/25次/5周,颅底侵犯症状消失。1994年6月入我院行系统化疗:CHOPP与CHOP—VP_(-16)两方案交替应用,用药3个疗程,每个疗程最后一个周期加服CCNV120mg一次,病情稳定,于1995年8月死于“脑出血”。
Patient Li X, male, 59 years old. In March 1993, because of painless enlargement of the left testis, he was diagnosed as “left testicular tuberculosis” at the Central Hospital of Iron and Steel. He received regular anti-tuberculosis treatment for one month and his symptoms worsened and he was transferred to the Provincial Cancer Hospital. Diagnosed as “testicular seminoma”, “left orchiectomy”, postoperative pathology as “testicular malignant lymphoma”, but also the “post-peritoneal dissection”, no anti-cancer treatment after surgery. One year, headache, stuffy nose, and blood stasis occurred. CT was diagnosed as “malignant lymphoma invading the skull base” at Harbin Central Hospital. He went to Harbin Cancer Hospital to perform whole brain irradiation. DT: 50GY/25 times / 5 weeks, skull base violation The symptoms disappear. In June 1994, we received systemic chemotherapy in our hospital: CHOPP and CHOP-VP_(-16) were applied alternately, with 3 courses of treatment, and 120 mg of CCNV was given in the last cycle of each course of treatment. The disease was stable and died in August 1995. In “cerebral hemorrhage”.