Francisco Javier Murcia-Pascual1, Raquel Gracia-Rodríguez1, Fernando Vázquez-Rueda2, Pedro López Pereira3, Rosa María Paredes Esteban1. 1. Unidad de Gestión Clínica y Servicio de Cirugía Pediátrica. Hospital Universitario Reina Sofía. Córdoba. España. 2. Unidad de Gestión Clínica y Servicio de Cirugía Pediátrica. Hospital Universitario Reina Sofía. Córdoba. España y Facultad de Medicina. Universiad de Córdoba. IMIBIC. España. 3. Servicio de Urología Pediátrica. Hospital Infantil La Paz. Madrid. España.
Abstract
OBJECTIVES: Testicular (TT) and paratesticular (PT) tumors account for 1-2%of all infant solid tumors. Due to the increased frequency of benign tumors, conservative management is recommended. Our experience and the therapeutic approach adopted considering testis-sparing surgery, was reviewed. METHODS: A retrospective observational study concerning testicular and paratesticular tumors in our hospital between 1998 and 2016, was performed. Age, side, symptoms, imaging, treatment methods, histological findings and evolution were reviewed. RESULTS: Nineteen cases of TT and PT were reviewed in 17 patients. A painless scrotal mass was found in most cases as the initial presentation (79%). Tumor markers were normal in all cases. Similar distribution between germ cell and stromal testicular tumors was found Nevertheless, benign and malignant PT proportion was similar. Testis preserving surgery was performed in 58% of TT and in 57% of PT. CONCLUSIONS: Due to the high incidence of the benign histological findings, testicular sparing surgery should be considered as a first therapeutic option, especially in those cases with normal tumor markers.
OBJECTIVES: Testicular (TT) and paratesticular (PT) tumors account for 1-2%of all infantsolid tumors. Due to the increased frequency of benign tumors, conservative management is recommended. Our experience and the therapeutic approach adopted considering testis-sparing surgery, was reviewed. METHODS: A retrospective observational study concerning testicular and paratesticular tumors in our hospital between 1998 and 2016, was performed. Age, side, symptoms, imaging, treatment methods, histological findings and evolution were reviewed. RESULTS: Nineteen cases of TT and PT were reviewed in 17 patients. A painless scrotal mass was found in most cases as the initial presentation (79%). Tumor markers were normal in all cases. Similar distribution between germ cell and stromal testicular tumors was found Nevertheless, benign and malignant PT proportion was similar. Testis preserving surgery was performed in 58% of TT and in 57% of PT. CONCLUSIONS: Due to the high incidence of the benign histological findings, testicular sparing surgery should be considered as a first therapeutic option, especially in those cases with normal tumor markers.
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