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睾丸恶性肿瘤占全部男性恶性肿瘤的1～2％,而生殖细胞肿瘤包括精原细胞瘤,胚胎癌,畸胎瘤及绒癌等占90％以上,其中畸胎瘤约占10.7％左右。胚胎癌和畸胎瘤多发生于20～30岁。临床上仍使用Boden和Gibbs分期法。近20年来由于放疗和化疗的迅速发展,对睾丸肿瘤的分期和综合治疗有了比较统一的认识,疗效亦明显提高。现将我们治疗并随访的18例睾丸恶性畸胎肿瘤报道如下: 临床资料 本组年龄20～48岁,平均34岁。右侧10例左侧8例;双侧隐睾、单侧隐睾及游动睾丸各1例;2例有外伤史。18例中单纯恶性畸胎瘤12例,恶性畸胎瘤合并精原细胞瘤2例,恶性畸胎瘤并发胚胎癌及畸胎瘤并
Testicular malignancies accounted for 1 to 2% of all male malignancies, while germ cell tumors including seminoma, embryonal carcinoma, teratoma and choriocarcinoma accounted for more than 90%, of which teratoma accounted for about 10.7%. Embryonic cancer and teratoma occur in 20 to 30 years old. Clinically, Boden and Gibbs staging are still used. In the past 20 years due to the rapid development of radiotherapy and chemotherapy, the staging and comprehensive treatment of testicular tumors have a more uniform understanding, the effect is also significantly improved. Now we treat and follow-up of 18 cases of testicular malignant teratoma reported as follows: Clinical data The group aged 20 to 48 years, mean 34 years. Right side of the left side in 10 cases 8 cases; bilateral cryptorchidism, unilateral cryptorchidism and testis in 1 case; 2 cases of history of trauma. Twelve cases of simple malignant teratoma in 18 cases, malignant teratoma with seminoma in 2 cases, malignant teratoma complicated with embryonal carcinoma and teratoma and