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Zhonghua Nan Ke Xue ; 22(5): 437-41, 2016 May.
Article in Zh | MEDLINE | ID: mdl-27416669

ABSTRACT

OBJECTIVE: To investigate different treatment methods for stage-Is testicular mixed germ cell tumors (TMGCTs). METHODS: We retrospectively analyzed the clinical data about 3'cases of stage-Is TMGCTs (aged 26-39 years) treated in the 175th Hospital of PLA, reviewed relevant literature, and explored the clinical characteristics of TMGCTs. RESULTS: Of the 3 patients, 1 was treated by radical orchiectomy, 1 by radical orchiectomy + retroperitoneal lymph node dissection + BEP chemotherapy scheme, and the other by radical orchiectomy + radiotherapy. The pathological components of TMGCTs were immature teratoma, seminoma, spermatocytoma, chorioepithelioma, embryonal carcinoma, and yolk sac tumor. No recurrence or distant metastasis was found during the 24-month follow-up after surgery. CONCLUSION: The diagnosis of TMGCTs primarily depends on physical examination, ultrasonography, MRI, and measurement of serum tumor markers, while its confirmation necessitates pathological examination, and its treatment is basically radical orchiectomy.


Subject(s)
Neoplasms, Germ Cell and Embryonal/surgery , Testicular Neoplasms/surgery , Adult , Carcinoma, Embryonal/pathology , Endodermal Sinus Tumor/pathology , Humans , Lymph Node Excision , Male , Neoplasm Recurrence, Local , Neoplasm Staging , Neoplasms, Germ Cell and Embryonal/pathology , Orchiectomy , Retrospective Studies , Seminoma/pathology , Teratoma/pathology , Testicular Neoplasms/pathology
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