Jikol Friend1, Andrew Barker2, Japinder Khosa2, Naeem Samnakay3. 1. Departments of Pediatric General Surgery, Princess Margaret Hospital, Western Australia, Australia. Electronic address: jikol.friend@gmail.com. 2. Departments of Pediatric General Surgery, Princess Margaret Hospital, Western Australia, Australia. 3. Departments of Pediatric General Surgery, Princess Margaret Hospital, Western Australia, Australia; University of Western Australia.
Abstract
INTRODUCTION: A preponderance of benign intratesticular masses in pre-pubertal males encourages testicular-sparing surgery (TSS). OBJECTIVE: To review outcome of benign testicular lumps in children managed at a tertiary pediatric center more than 7.5years. METHODS: A retrospective review of pediatric benign testicular lesions from January 2008 to June 2015 was performed. RESULTS: There were twelve benign intratesticular tumors. Of these, 11 were in pre-pubertal males; comprising four teratomas, two epidermoid cysts, one dermoid cyst, two cases of Leydig cell hyperplasia, one cystic dysplasia of the rete testis and one large simple intratesticular cyst. We illustrate a case of Leydig cell hyperplasia presenting with precocious puberty limited to the ipsilateral hemi-scrotum. TSS was attempted in all 11 pre-pubertal cases, but successfully performed in seven. TSS was possible for a large testicular cyst seemingly replacing the entire testis, with evidence that the testis reconstituted itself after surgery. Recurrence of an epidermoid cysts reported. CONCLUSION: For the first time in the literature, this series reports Leydig cell hyperplasia presenting with ipsilateral hemi-scrotal changes of precocious puberty; shows evidence that the testis reconstitutes itself after TSS for a large cyst; and reports recurrence of an epidermoid cyst after TSS. Crown
INTRODUCTION: A preponderance of benign intratesticular masses in pre-pubertal males encourages testicular-sparing surgery (TSS). OBJECTIVE: To review outcome of benign testicular lumps in children managed at a tertiary pediatric center more than 7.5years. METHODS: A retrospective review of pediatric benign testicular lesions from January 2008 to June 2015 was performed. RESULTS: There were twelve benign intratesticular tumors. Of these, 11 were in pre-pubertal males; comprising four teratomas, two epidermoid cysts, one dermoid cyst, two cases of Leydig cell hyperplasia, one cystic dysplasia of the rete testis and one large simple intratesticular cyst. We illustrate a case of Leydig cell hyperplasia presenting with precocious puberty limited to the ipsilateral hemi-scrotum. TSS was attempted in all 11 pre-pubertal cases, but successfully performed in seven. TSS was possible for a large testicular cyst seemingly replacing the entire testis, with evidence that the testis reconstituted itself after surgery. Recurrence of an epidermoid cysts reported. CONCLUSION: For the first time in the literature, this series reports Leydig cell hyperplasia presenting with ipsilateral hemi-scrotal changes of precocious puberty; shows evidence that the testis reconstitutes itself after TSS for a large cyst; and reports recurrence of an epidermoid cyst after TSS. Crown
Authors: Juan I Bois; Roberto L Vagni; Francisco I de Badiola; Juan M Moldes; Paul D Losty; Pablo A Lobos Journal: Pediatr Surg Int Date: 2021-01-17 Impact factor: 1.827