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J Korean Cancer Assoc > Volume 33(2); 2001 > Article
Journal of the Korean Cancer Association 2001;33(2): 178-182.
Testis Tumor: A Review of 42 Cases
In Cheol Hwang, Dong Jin Yoon, Sung Hyun Jeon, Cheol Su Kim, Sung Goo Chang, Sun Ju Lee
Department of Urology, School of Medicine, Kyung Hee University, Seoul, Korea.
This study was performed in order to evaluate the clinical characteristics, effect of treatment and prognosis in patients with testicular tumors.
We retrospectively reviewed 42 patients with testicular tumor treated at our hospital. We analyzed the pathologic classification, clinical stage, preoperative tumor markers, treatment methods, clinical characteristics, and prognosis.
The histologic type was seminoma in 11, teratoma in 10, yolk sac tumor in 5, embryonal cell carcinoma in 4, mixed type in 8 and secondary neoplasm in 4. Clinically, 31 patients were stage I, 2 stage IIa, 2 stage IIb, 1 stage IIc, 6 stage IV. Following orchiectomy, 22 patients underwent surveillance, 12 chemotherapy, 4 radiation therapy, 1 retroperitoneal lymph node dissection (RPLND), 2 radiation plus chemotherapy, and 1 radiation plus chemotherapy and RPLND. The 10-year survival rate was 90.9% in the cases of seminoma. Similarly, the 10-year survival rate was 96.0% in the cases of non-seminomatous germ cell tumors (NSGCT).
In our study, patients with testicular tumor revealed an excellent survival rate. Testicular tumors are solid tumors that have a possibility of complete remission by additional chemotherapy or radiation following radical surgery. Therefore, early detection and aggressive treatment were mandatory.
Key words: Testis tumor;Clinical characteristics;Treatment
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