Feasibility of Testis-sparing Surgery for Testicular Tumors in Children.
10.4111/kju.2007.48.6.598
- Author:
Kwang Jae WOO
1
;
Deok Hyun HAN
;
Kwan Hyun PARK
Author Information
1. Department of Urology, Sungkyunkwan University School of Medicine, Seoul, Korea. khpark@smc.samsung.co.kr
- Publication Type:Original Article
- Keywords:
Testis;
Tumor;
Surgery;
Children
- MeSH:
Atrophy;
Child*;
Endodermal Sinus Tumor;
Epidermal Cyst;
Follow-Up Studies;
Frozen Sections;
Humans;
Leydig Cell Tumor;
Pathology;
Recurrence;
Reference Values;
Retrospective Studies;
Teratoma;
Testicular Neoplasms*;
Testis;
Ultrasonography
- From:Korean Journal of Urology
2007;48(6):598-602
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We assessed the feasibility of testis-sparing surgery in children with testicular tumors. MATERIALS AND METHODS: Twenty-five pediatric patients who had a testicular tumor were enrolled for retrospective analysis. Testis-sparing surgery was planned in the cases with clinical features that preoperatively suggested the tumors to be benign, which was later determined intraoperatively by frozen section examination. The preoperative-fetoprotein (AFP) and transscrotal ultrasound (US) were evaluated along with the final pathology. We reviewed the immediate and late surgical complications, as well as the tumor recurrence after surgery. RESULTS: Teratoma, epidermoid cyst, yolk sac tumor, and Leydig cell tumor accounted for finding in 40%, 32%, 24%, and 4% of the patients, respectively. Based on the preoperative US, 18 patients had benign-looking tumors. According to the age-matched AFP references, 17 patients showed normal ranges preoperatively. Out of 14 patients, whose US and AFP level suggested the tumors to be benign, 10 (71.4%) were eligible for testis- sparing surgery on retrospective review. Testis-sparing surgery was performed in 5 patients, who showed the same pathology in frozen sections (3 epidermoid cysts, 2 teratomas). None of the 5 patients exhibited perioperative complications, and no recurrence or atrophy was observed at a mean follow-up of 39.8 months. CONCLUSIONS: Out of 14 patients, whose US and AFP analyses were available, 10 (71.4%) were eligible for testis-sparing surgery. Testis-sparing surgery was done in five out of the 10 patients without any complication or recurrence. Testis-sparing surgery is a feasible option in children with testicular tumors if the AFP level is within a normal range and the US suggests benign characteristics.
