Metastatic Tumors Involving the Testes

睪丸內之轉移性腫瘤

盧令一(Lieng-Yi Lu) ； 郭俊逸(Junne-Yih Kuo) ； 林登龍(Alex T.L. Lin) ； 張延驊(Yen-Hwa Chang) ； 陳光國(Kuang-Kuo Chen) ； 潘競成(Chin-Chen Pan) ； 張心湜(Luke S. Chang)

《中華民國泌尿科醫學會雜誌》 11卷1期 (2000/03) Pp. 12-17

https://doi.org/10.7024/JUAROC.200003.0012

摘要

回溯分析台北榮民總醫院自1979年至1999年共200例睪丸腫瘤中，有14例（7%）為非淋巴癌及白血病所引起之轉移性睪丸腫瘤病患。原發腫瘤包括攝護腺癌8例（57.1%），肺癌2例（13.6%），消化道癌2例（13.6%），儲精囊癌1例（7.1%），及1例不明原因（7.1%）。除2例（13.6%）為兩側睪丸轉移外，其它均為單側同時合併其他部位轉移。臨床表現上大多可以摸到睪丸腫塊（9/14，佔64.3%），且無AEP及s-HCG之異常，另5例則為攝護腺癌患者接受睪丸切除術後意外發現。除1例仍存活外，其他13例中，攝護腺癌患者平均於診斷後12.8個月死亡，非攝護腺患者平均於診斷後7.4個月死亡。睪丸之轉移性腫瘤須與原發性腫瘤鑑別診斷，且常合併其他部位轉移，因此預後不佳。

關鍵字

睪丸 ； 轉移性腫瘤

並列摘要

From 1979 to 1999, totally 200 cases of testicular tumor were diagnosed and treated at Taipei Veterans General Hospital. With the exception of lymphoma and leukemia, a total of 14 cases with metastatic tumor to the testis was collected. Eight cases(51.7%)were derived from adenocarcinoma of the prostate, 2 cases(13.6%) from lung cancer, 2(13.6%) from cancer of the gastrointestinal tract, 1(7.1%) from carcinoma of the seminal vesicles and 1(7.1%) from undetermined origin. There were 2 cases with bilateral testicular involvement(13.6%), and another 12 cases were unilateral involvement as well as all cases combined with multiple metastases. Nine cases(64.3%) presented with a scrotal mass without elevation of AFP or B-HCG clinically, and 5 cases were discovered incidentally ofter therapeutic orchiectomy due to adenocarcinoma of the prostate. One of the 14 cases was still alive. In the 13 expired cases, the average survival was 12.8 mo for the 7 patients with prostate cancer after orchiectomy and 7.4 mo for the 6 non-prostate cancer patients. Prognosis was very poor in metastatic carcinoma to the testis due to the late stage.

並列關鍵字

testis ； metastatic tumor