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临床Ⅰ期睾丸肿瘤达35％的病人隐藏有腹膜后转移,常用的非侵袭分期技术均不能发现。双侧腹膜后淋巴结清扫术诊断准确,多可治愈能切除的转移癌,但常致永久性不射精。若能掌握睾丸肿瘤淋巴转移的首发部位,则可采用有限度的淋巴清扫术,既达到治疗目的又避免其副作用。Ray等回顾性分析孤立性转移灶的部位,发现右侧肿瘤转移部位不定,而左侧仅累及主动脉旁。该结果促成了本文的研究。共46个单位参加该一前瞻性研究,包括连续214例腹膜后淋巴结转移不大于5cm的Ⅱ期睾丸肿瘤。根据淋巴结转移情况再分成:Ⅰ组仅为淋巴结
Patients with stage I testicular tumors up to 35% have hidden retroperitoneal metastasis, and common non-invasive staging techniques cannot be found. The diagnosis of bilateral retroperitoneal lymph node dissection is accurate, and can often cure metastatic cancer that can be resected, but it often leads to permanent non-ejaculation. If you can grasp the first site of lymph node metastasis of testicular cancer, you can use limited lymphadenectomy, both to achieve the purpose of treatment and to avoid its side effects. Ray et al retrospectively analyzed the location of solitary metastases and found that the metastatic site of the right tumor was indefinite, while the left side involved only the aorta. This result contributed to this study. A total of 46 units participated in this prospective study, including continuous 214 cases of stage II testicular tumors with a retroperitoneal lymph node metastasis of no more than 5 cm. Divided according to lymph node metastasis: Group I was only lymph node