论文部分内容阅读
分析56例纵隔原发性恶性生殖细胞瘤,显示与良性畸胎瘤相似,多发于青年成人,平均年龄29岁,但性别分布男多于女.37例为单一细胞成分,19例为混合型.共分5类:精原细胞瘤24例,胚胎性癌17例,绒癌7例,恶性畸胎瘤5例,卵黄囊瘤3例.86%病人就诊时有症状,常见为胸痛、咳嗽及体重减轻.标准后前位及侧位X线胸片有助于诊断,53例有前纵隔肿块影.53例经开胸探查或颈淋巴结活检确诊.55例开胸手术,24例肿瘤完全切除,31例肿瘤不完全切除或仅作活检术.
Analysis of 56 cases of mediastinal primary malignant germ cell tumors, showing similar to benign teratoma, mostly in young adults, the average age of 29 years, but the gender distribution of men than women. 37 cases of single cell components, 19 cases of mixed type Divided into 5 categories: 24 cases of seminoma, 17 cases of embryonal carcinoma, 7 cases of choriocarcinoma, 5 cases of malignant teratoma, 3 cases of yolk sac tumors. 86% of patients have symptoms at the time of treatment, common chest pain, cough And weight loss. Standard posterior and lateral radiographs are helpful in the diagnosis. 53 cases have anterior mediastinal masses. 53 cases were diagnosed by thoracotomy or cervical lymph node biopsy. 55 cases of thoracotomy and 24 cases of complete tumor Resection, 31 cases of incomplete resection of the tumor or only for biopsy.