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作者报告1955～1974年收治的145例睾丸肿瘤治疗结果。其中精原细胞瘤80例,平均37.5岁;胚胎癌32例,平均29.8岁;畸胎癌28例,平均25.8岁;畸胎瘤4例,平均22.8岁;未分化癌1例,82岁。每例患者都先作睾丸切除术;胚胎癌和畸胎癌患者大多作了后腹膜淋巴结清扫术,因此分期比精原细胞瘤要准确。精原细胞瘤患者中78%是Ⅰ期;胚胎癌和畸胎癌大约一半是Ⅰ期。用~(60)钴给予术后照射,SSD80厘米,骨盆淋巴结区用前后两野照射,13×15或14×15厘米(宽13或14厘米)。阴囊一般不包括在照
The authors report the results of 145 cases of testicular cancer treated from 1955 to 1974. Among them, 80 cases were seminoma, with an average of 37.5 years; 32 cases with embryonal carcinoma, average 29.8 years; 28 cases with teratoma, average 25.8 years; 4 cases with teratoma, average 22.8 years; 1 case with undifferentiated carcinoma, 82 years old. Each patient first undergoes orchiectomy; most patients with embryonal and teratocarcinoma undergo retroperitoneal lymph node dissection, so staging is more accurate than seminoma. 78% of patients with seminoma are stage I; about half of embryonal and teratocarcinomas are stage I. After irradiation with ~ (60) cobalt, the SSD was 80 cm. The pelvic lymph node area was irradiated with two fields, 13 × 15 or 14 × 15 cm (13 or 14 cm in width). The scrotum is generally not included in the photo