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报告1990~1995年收治的睾丸胚胎性癌4例,占同期收治睾丸肿瘤的8.9%。发病年龄低(平均31.5岁),病程2~3个月。肿瘤位于左侧1例,右侧3例,其中1例伴有对侧睾丸精原细胞瘤。病理组织学图像复杂,能模拟4个以上的胚层结构,转移早,属高度恶性肿瘤。诊断主要根据病理检查,取组织活检能获得可靠诊断。治疗以早期手术为主,并辅以化疗。认为临床对此应提高认识,凡睾丸肿大均应考虑为肿瘤。
Report of 1990 to 1995 admitted to testicular embryonal carcinoma in 4 cases, accounting for 8.9% of testicular tumors over the same period. Low age of onset (average 31.5 years old), duration of 2 to 3 months. The tumor was located on the left side in 1 case and on the right side in 3 cases, of which 1 was accompanied by contralateral testicular seminoma. Histopathological images are complex and can simulate more than 4 germinal layer structures, which metastasize early and belong to highly malignant tumors. Diagnosis is mainly based on pathological examination, biopsy can get reliable diagnosis. The main treatment of early surgery, supplemented by chemotherapy. That clinical should raise awareness, where testicular swelling should be considered for the tumor.