睾丸腫瘍59例の臨床的検討

Abstract

A clinical survey was performed on 59 cases of testicular tumor treated at Nagoya National Hospital from May 1966 to Dec. 1979. The results were as follows. 1) Histopathological diagnosis according to the classification by Dixon and Moore was type I in 24 cases, type II in 13 cases, type III in 5 cases, type IV in 6 cases, type V in one case and nongerminal tumor in 10 cases. Non-germinal tumors included reticulum cell sarcoma in 2 cases, lymphosarcoma in 2 cases, Sertoli cell tumor in one case, dermoid cyst in one case and rhabdomyosarcoma in 4 cases. 2) A peak of occurrence was observed between the age of 20 and 40. 3) There were 17 fatal cases including type I in 3 cases, type II in 4 cases, type III in 2 cases, type IV in one case, type V in one case, reticulum cell sarcoma in 2 cases, lymphosarcoma in 2 cases, rhabdomyosarcoma in 2 cases. 4) The treatment was done by high orchiectomy only, orchiectomy with radiation, orchiectomy with chemotherapy or orchiectomy with radiation and chemotherapy. Retroperitonial lymphadenectomy was not done in any cases. 5) The 5 year survival rate was 87.5% in type I, 75.5% in type II, 0% in type III, 50% in type IV and 0% in type V. 6) The 3 year survival rate was 100% in stage IA, 8.3% in stage II and 0% in stage III. The 5 year survival rates was 100% in stage IA but 0% in stage II and stage III.