精巣腫瘍に対する高位精巣摘出術および化学療法・放射線療法後の精神的, 社会的, 性的活動性に関する考察

Abstract

1)精巣腫瘍患者のADLをアンケート調査し, 33名より解答を得た. 2)化学療法中のADLは抗癌剤による消化器症状の出現とその程度に依存する傾向を有し, 制吐剤の適正な投与が必要と考えられた. 3)退院後の生活満足度では化学療法群で最も低く, 未婚率も高かった.患者の婚姻状況が, 退院後の患者のADLに少なからず影響を与える. 4)患者全般に退院後の性機能が低下し, RPLND施行群では性機能の低下も著明であった.RPLNDに際しては可能なかぎり神経温存に努めることが重要である

We evaluated the physical or psychosocial states of testicular cancer patients receiving orchiectomy, radiation therapy and chemotherapy to assess their quality of life during and after treatment. The subjects were 33 post-treatment patients with testicular cancer who responded to the questionnaire we mailed to them. The quality of life score during chemotherapy showed a decrease, which was accompanied by gastrointestinal symptoms induced by anti-cancer drugs. With regard to the difference in adjuvant treatment types, the surveillance group showed the highest score in the satisfaction of daily life. Moreover, married patients tended to be satisfied with daily life more than non-married patients. With regard to sexual or erectile function, scores of testicular cancer patients, especially in the retroperitoneal lymph node dissection group, were inferior to these of normal volunteers. In conclusion, the physical or psychosocial states after treatment for testicular cancer depend not only on treatment type but also marriage status.