Comparison of therapeutic effects by testis sparing surgery and radical orchiectomy for benign testicular tumors
10.3969/j.issn.1009-8291.2023.07.007
- VernacularTitle:保留睾丸手术与根治性睾丸切除术治疗睾丸良性肿瘤的效果比较
- Author:
Taonong CAI
1
;
Zhijun LIN
1
;
Jiangli LU
1
;
Mingrui LUO
1
;
Haitao LIANG
1
;
Zike QIN
1
;
Yunlin YE
1
Author Information
1. Department of Urology, Sun Yat-sen University Cancer Center/State Key Laboratory of Oncology in South China/Collaborative Innovation Center for Cancer Medicine, Guangzhou 510060, China
- Publication Type:Journal Article
- Keywords:
benign testicular tumor;
testis sparing surgery;
radical orchiectomy;
frozen section assessment
- From:
Journal of Modern Urology
2023;28(7):579-582
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To explore the surgical treatments and therapeutic outcomes for benign testicular tumor. 【Methods】 Clinical data of 53 patients with benign testicular tumor treated with surgery during May 2004 and Jul.2021 were retrospectively analyzed. 【Results】 The postoperative pathological diagnosis of 53 patients included 33 patients with epidermal cysts, 12 with mature teratomas, 2 with bilateral testicular tumors (one of them was epidermal cysts in the left and mature teratoma in the right, and the other was bilateral leiomyomas), and 6 benign cases. Testis sparing surgery (TSS) group had 23 patients and radical orchiectomy (RO) group had 30 patients. There were no significant differences in patients’ age, tumor location, disease course, and ultrasound examination results between the two groups (P>0.05). The tumor size of the RO group was (2.60±0.94) cm, which was larger than that of the TSS group (1.55±0.52) cm (P<0.001). There were no statistically significant differences in surgical time and postoperative hospital stay between the two groups (P>0.05). A total of 15 patients (13 with TSS and 2 with RO) underwent intraoperative frozen rapid pathological examination (FSA), which was consistent with post-operative paraffin pathological results. Durign the follow up of 2-219 months,median 38 months, there was no recurrence in either groups. 【Conclusion】 Testis sparing surgery is a reliable treatment modality for benign testicular tumor, which may also decrease the level of androgen and incidence of asthenozoospermia. It can be considered for tumors less than 2 cm with benign tendency or uncertain nature.
