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Также называется семиномой яичка, сперматогониомой и сперматоцитомой [2](https://bigenc.ru/c/seminoma-83da0e). \n\n**Особенности**: \n- Обычно возникает в неопустившемся яичке (крипторхизм) [2](https://bigenc.ru/c/seminoma-83da0e)[7](https://omnipharm.ru/zabolevaniya/germinogennye-opuholi/). \n- Редко может возникать вне яичка, например, в области средостения или забрюшинного пространства [3](https://www.KrasotaiMedicina.ru/diseases/oncologic/seminoma). \n- Обычно диагностируется у пациентов в возрасте от 20 до 40 лет, реже выявляется у детей и пожилых мужчин [3](https://www.KrasotaiMedicina.ru/diseases/oncologic/seminoma).\n\n\n\n## Причины\n**Точные причины семиномы неизвестны** [1](https://semeynaya.ru/directions/onkologiya/seminoma/). Некоторые факторы, которые могут способствовать развитию опухоли: \n* **Предраковый процесс** — внутриканальцевая герминогенная неоплазия [3](https://www.KrasotaiMedicina.ru/diseases/oncologic/seminoma). В изменённых участках ткани содержатся мутировавшие клетки, которые при неблагоприятном развитии могут давать начало злокачественной опухоли [3](https://www.KrasotaiMedicina.ru/diseases/oncologic/seminoma). \n* **Наследственность** — у кровных родственников семинома диагностируется чаще, чем в среднем по популяции [3](https://www.KrasotaiMedicina.ru/diseases/oncologic/seminoma). \n* **Генетические аномалии** — например, синдром Клайнфельтера [3](https://www.KrasotaiMedicina.ru/diseases/oncologic/seminoma).\n\n## Симптомы\n**На ранних стадиях** клинические проявления отсутствуют [8](https://MedAboutMe.ru/articles/opukhol_yaichka_seminoma/). **По мере роста опухоли** яичко становится плотным, увеличенным в размерах, образование бугристое [8](https://MedAboutMe.ru/articles/opukhol_yaichka_seminoma/). **Может присутствовать дискомфорт** в железе, усиливающийся при надавливании или физической нагрузке [8](https://MedAboutMe.ru/articles/opukhol_yaichka_seminoma/). \n\n**При запущенной (метастатической) стадии** заболевания возможны: \n* появление конгломерата лимфатических узлов в паху [8](https://MedAboutMe.ru/articles/opukhol_yaichka_seminoma/); \n* отёки нижних конечностей [8](https://MedAboutMe.ru/articles/opukhol_yaichka_seminoma/); \n* нарушения мочеиспускания, запоры [8](https://MedAboutMe.ru/articles/opukhol_yaichka_seminoma/); \n* боль в животе [8](https://MedAboutMe.ru/articles/opukhol_yaichka_seminoma/).\n\n## Диагностика\n**Для диагностики семиномы используют**: \n* **УЗИ яичек** — позволяет визуализировать опухоль [10](https://medi.ru/klinicheskie-rekomendatsii/germinogennye-opukholi-u-muzhchin_13967/). \n* **КТ органов грудной клетки, брюшной полости и малого таза** с внутривенным контрастированием — стандарт уточняющей диагностики [10](https://medi.ru/klinicheskie-rekomendatsii/germinogennye-opukholi-u-muzhchin_13967/). \n* **Анализ крови на опухолевые маркеры** — по уровню которых определяется клеточная структура и прогноз [11](https://yandex.ru/health/turbo/articles?id=6539). \n* **Биопсию яичка** — позволяет определиться с морфологией, но не обязательна при наличии в крови типичных опухолевых маркеров, поскольку на первом этапе планируется операция [11](https://yandex.ru/health/turbo/articles?id=6539).\n\n## Лечение\n**Лечение семиномы зависит от стадии заболевания** [1](https://semeynaya.ru/directions/onkologiya/seminoma/). **Некоторые методы**: \n* **Хирургическое лечение** — например, орхифуникулэктомия (полное удаление одного яичка вместе с семенным канатиком) [12](https://cpm-devita.ru/onko/germinogennye-opuholi/rak-yaichka/). \n* **Лучевая терапия** — послеоперационное облучение забрюшинных лимфатических узлов, разрушение отдалённых метастатических очагов, лечение местного рецидива заболевания [12](https://cpm-devita.ru/onko/germinogennye-opuholi/rak-yaichka/). \n* **Химиотерапия** — необходима, если стадия опухолевого процесса подразумевает высокий риск распространения опухоли за пределы органа [12](https://cpm-devita.ru/onko/germinogennye-opuholi/rak-yaichka/). Пациенту назначают комбинацию из двух и более лекарственных средств [12](https://cpm-devita.ru/onko/germinogennye-opuholi/rak-yaichka/). \n\n**После оперативного лечения** пациенту требуется тщательное наблюдение у онкоуролога для своевременного обнаружения признаков возможного возвращения опухоли [12](https://cpm-devita.ru/onko/germinogennye-opuholi/rak-yaichka/).","linksData":[{"sourceId":1,"url":"https://semeynaya.ru/directions/onkologiya/seminoma/","shownUrl":"https://semeynaya.ru/directions/onkologiya/seminoma/","title":"Семинома","shortUrl":"semeynaya.ru","isTranslated":false,"description":"","greenUrl":"semeynaya.ru"},{"sourceId":2,"url":"https://bigenc.ru/c/seminoma-83da0e","shownUrl":"https://bigenc.ru/c/seminoma-83da0e","title":"Семинома. 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