Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press2210.17650/1726-9776-2014-10-1-64-68DIAGNOSIS AND TREATMENT OF URINARY SYSTEM TUMORS. TESTICULAR CANCERДИАГНОСТИКА И ЛЕЧЕНИЕ ОПУХОЛЕЙ МОЧЕПОЛОВОЙ СИСТЕМЫ. Рак яичкаDIAGNOSTICS AND TREATMENT OF TUMORS OF A TESTICLE AT CHILDREN: 19 YEARS OF EXPERIENCEДИАГНОСТИКА И ЛЕЧЕНИЕ ГЕРМИНОГЕННЫХ ОПУХОЛЕЙ ЯИЧКА У ДЕТЕЙ: 19-ЛЕТНИЙ ОПЫТRokhoevM. A.РохоевМ. А.
Russian Federation
NechushkinaI. V.НечушкинаИ. В.
Russian Federation
MikhaylovaE. V.МихайловаЕ. В.
Russian Federation
KerimovP. A.КеримовП. А.
Russian Federation
KapkovaO. A.КапковаО. А.
Russian Federation
Scientific Research Institute for Pediatric Oncology and Hematology, N. N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, MoscowНИИ детской онкологии и гематологии ФГБУ «РОНЦ им. Н. Н. Блохина» РАМН, Москва30032014101646824072014https://oncourology.abvpress.ru/oncur/article/view/22

From 1990 to 2009, at the Research Institute for OBCs were examined and treated 62 children with testicular germ cell tumors. The average age of our patients was 3.7 years (range 3 months to 15 years). All children performed a study of tumor markers titer, ultrasound. In 14 children identified metastases. Surgical treatment is the first stage in the volume orhifunikulektomii conducted all 62 children. Retroperitoneal limfoadenektomiya made in   4 children and 5 children underwent thoracotomy with removal of metastases in the lung. Drug treatment was performed in 47 children with malignant germ cell tumor. Using a combined method in the treatment of malignant testicular tumors led to 100 % relapse-free and overall survival.

 

С 1990 по 2009 г. в НИИ детской онкологии и гематологии (НИИ ДОГ) на обследовании и лечении находились 62 ребенка с герминогенной опухолью яичка. Средний возраст наших пациентов составил 3,7 года (от 3 мес до 15 лет). У всех детей проводили исследование титра онкомаркеров, ультразвуковое исследование. У 14 детей выявлены метастазы. Оперативное лечение на первом этапе в объеме орхифуникулэктомии проводили всем 62 детям. Забрюшинная лимфаденэктомия выполнена 4 детям и торакотомия с удалением метастазов в легком – 5. Лекарственное лечение проведено 47 детям со злокачественной герминогенной опухолью. Использование комбинированного метода в лечении злокачественной опухоли яичка позволило добиться 100 % безрецидивной и общей выживаемости.

 

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