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恶性卵黄囊瘤是较少见的恶性肿瘤,以往对此病的组织学来源认识不足,常误诊为胚胎性癌、畸胎瘤、血管肉瘤等。近年来国内有些报道,但在许多问题尚无统一意见。本文报告3例,并复习文献讨论如下: [例1] 男,2岁,住院号5004,病理号27458。因左睾丸肿大1年,1983年6月30日入院。查体:心肺正常,腹部未触及包块,腹股沟淋巴结不大。左睾丸肿大如鹅卵,质中度硬。于1983年7月8日行左睾丸切除,病理诊为睾丸恶性卵黄囊瘤。未用化疗,术后5个月死于肿瘤广泛转移。
Malignant yolk sac tumor is a rare malignancy, histopathological understanding of the disease in the past lack of knowledge, often misdiagnosed as embryonal carcinoma, teratoma, angiosarcoma and so on. In recent years, some reports have been made in China, but there is no unified opinion on many issues. This article reports 3 cases, and review the literature discussed as follows: [Example 1] Male, 2 years old, hospital number 5004, pathology number 27458. Due to left testicular swelling 1 year, June 30, 1983 admission. Physical examination: normal heart and lungs, abdomen without touching the mass, small inguinal lymph nodes. Left testicular enlargement, such as goose eggs, moderate hardness. On July 8, 1983 line of left testicle excision, pathological diagnosis of malignant yolk sac tumor. Without chemotherapy, 5 months after the death died of extensive tumor metastasis.