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同胞兄弟发生睾丸精原细胞瘤极为罕见,国内尚未见报告.我院曾遇2例,现报告如下。例1 男,29岁,未婚。因右睾丸肿大5月于1973年6月2日入院。既往无睾丸外伤史。体检:右睾丸触及5×4×4 cm肿块,稍硬,无压痛,表面尚光滑,精索无异常;先侧睾丸、附睾、精索均正常。两侧腹股沟淋巴结不肿大。拟诊:右睾丸肿瘤。6月7日在硬膜外麻醉下行根治性右睾丸切除术。病理诊断:右睾丸精原细胞瘤。术后10天行腹主动脉旁髂窝淋巴结预防性放疗,3周照射总量3600×10(-2)Gy。随访18年,无肿瘤复发。
Sister sibling testicular seminoma is extremely rare, no reports have been reported in our hospital had two cases, are as follows. Example 1 Male, 29 years old, unmarried. Due to right testicular swelling in May on June 2, 1973 admission. No past history of testicular injuries. Physical examination: right testicle touched 5 × 4 × 4 cm mass, slightly stiff, no tenderness, the surface is still smooth, spermatic cord no abnormalities; first testis, epididymis, spermatic cord are normal. On both sides of the inguinal lymph nodes is not enlarged. To be diagnosed: right testicular tumor. June 7 epidural anesthesia underwent radical right orchiectomy. Pathological diagnosis: right testicular seminoma. Preoperative radiotherapy was performed on the aorta next to the iliac fossa lymph node 10 days after operation. The total amount of irradiation was 3600 × 10 (-2) Gy in 3 weeks. Followed up for 18 years, no tumor recurrence.