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目的:回顾性分析睾九恶性淋巴瘤的治疗效果并试图探索放射治疗、全身化疗对其预后的影响。材料与方法:上海医科大学肿瘤医院1970年-1994年收治的27例睾丸恶性淋巴瘤。全部病例均经睾丸切除后病理证实。全部病例均给予局部放射治疗(多数为腹主动脉旁野+同侧髂淋巴区),大部分病例同时接受全身化疗(以CHOP.COMP、COP方案为主)。以寿命表法计算生存结果。结果:1,3,5年生存率分别为92.0%,75.8%和75.8%。4例死于本病全身扩散的均未应用化疗。结论:本病对放、化疗均较敏感,但局部区域性放疗不能解决本病的全身扩散,必须结合全身化疗。
Objective: To retrospectively analyze the therapeutic effect of testicular malignant lymphoma and to explore the influence of radiotherapy and systemic chemotherapy on its prognosis. Materials and Methods: Tumor Hospital of Shanghai Medical University from 1970 to 1994 admitted 27 cases of testicular malignant lymphoma. All cases were pathologically confirmed by orchiectomy. All cases were given local radiotherapy (most of the abdominal aorta + ipsilateral iliac lymphatic area), most cases also received systemic chemotherapy (CHOP.COMP, COP-based programs). Survival table method to calculate the survival result. Results: The 1-, 3- and 5-year survival rates were 92.0%, 75.8% and 75.8% respectively. 4 patients died of the disease spread throughout the body did not apply chemotherapy. Conclusion: The disease is sensitive to radiotherapy and chemotherapy. However, regional radiotherapy can not solve the systemic spread of this disease and must be combined with systemic chemotherapy.