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目的提高成人睾丸旁横纹肌肉瘤的诊断和治疗水平。方法本组病人分别为青年、中年,病理分别为横纹肌肉瘤和恶性横纹肌瘤。术前B超提示腹股沟区低回声肿物,肿物周边及内部可见血流信号。结合文献进行探讨。结果本文2例睾丸旁横纹肌肉瘤均行根治性手术切除,1例术前采用紫杉醇(紫杉醇330mg,静脉点滴,28d为一疗程)新辅助化疗：术后继续辅助紫杉醇(紫杉醇330mg,静脉点滴,28d为—疗程)辅助化疗。本文2例均于诊断后一年内死亡。结论成人睾丸旁横纹肌肉瘤的预后差。睾丸旁横纹肌肉瘤患者生存率的提高有赖于早期诊断和根治性切除。
Objective To improve the diagnosis and treatment of adult testicular rhabdomyosarcoma. Methods The patients were young, middle-aged, pathological were rhabdomyosarcoma and malignant rhabdomyoma. B-ultrasound before surgery suggest hypoechoic tumor in the inguinal region, peripheral and internal mass visible blood flow signal. Combined with the literature to explore. Results In this study, 2 cases of parathyroid rhabdomyosarcoma were treated by radical surgery. One case was treated with paclitaxel (paclitaxel 330mg, intravenous drip for 28 days) neoadjuvant chemotherapy before surgery. Paclitaxel (paclitaxel 330mg, intravenous drip 28d For - treatment) adjuvant chemotherapy. Two cases of this article were diagnosed within one year after death. Conclusion The prognosis of adult testicular rhabdomyosarcoma is poor. Survival of patients with testicular rhabdomyosarcoma depends on the early diagnosis and radical resection.