MANAGEMENT OF THE CONTRALATERAL TESTIS IN PATIENTS WITH TESTICULAR GERM-CELL CANCER

被引:44
|
作者
FORDHAM, MVP
MASON, MD
BLACKMORE, C
HENDRY, WF
HORWICH, A
机构
[1] ROYAL MARSDEN HOSP,TESTICULAR TUMOUR UNIT,DOWNS RD,SUTTON SM2 5PT,SURREY,ENGLAND
[2] INST CANC RES,SUTTON SM2 5PX,SURREY,ENGLAND
来源
BRITISH JOURNAL OF UROLOGY | 1990年 / 65卷 / 03期
关键词
D O I
10.1111/j.1464-410X.1990.tb14731.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Summary— Patients with testicular germ cell tumours (TGCT) are at increased risk of developing a tumour in the contralateral testis. Such a tumour may be preceded by carcinoma in situ (CIS), which is more common in patients with infertility, atrophic testis or a history of cryptorchism. Of 1219 patients with TGCT seen at the Royal Marsden Hospital between 1962 and 1984 in whom the contralateral testis was managed by surveillance, 38 (3.1%) developed a second tumour and 8 died of germ cell tumours. Seventeen of 26 assessable patients (65%) exhibited at least one of the known aetiological risk factors for carcinoma in situ. Diagnosis of carcinoma in situ may lead to more appropriate management of the contralateral testis. © 1990 British Journal of Urology
引用
收藏
页码:290 / 293
页数:4
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