Clinical analysis of 35 cases of benign testicular tumors
10.3969/j.issn.1000-8179.2018.12.021
- VernacularTitle:35例睾丸良性肿瘤的临床病例分析
- Author:
Kanghua XIAO
1
;
Xiaohan WANG
;
Lei TAN
;
Zike QIN
;
Fangjian ZHOU
;
Yunlin YE
Author Information
1. 中山大学肿瘤防治中心泌尿外科 广州市510060
- Keywords:
testicular tumors;
benign tumors;
testis-sparing surgery;
radical orchiectomy;
prognosis
- From:
Chinese Journal of Clinical Oncology
2018;45(12):620-622
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the postoperative effect, prognosis, and prognostic factors for benign testicular tumors. Methods: We retrospectively analyzed the clinical data of 35 patients with benign testicular tumors between May 2004 and May 2017 from Sun Yat-sen University Cancer Center, and the patients were followed up until October 2017. Results: The mean age of the 35 patients was 18.8 (0.4-44.0) years. Among them, 14 patients (40.0%) underwent testis-sparing surgery and 21 (60.0%) underwent radical orchiecto-my, and the tumor sizes were 1.8 (0.4-4.0) cm and 2.7 (1.0-8.0) cm, respectively. All patients had been cured without obvious perioper-ative complications. Postoperative histopathological tumor types included 18 epidermal cysts, 10 mature teratomas, 4 interstitial cell tumors, and 3 adenomatoid tumors. Frozen section examination of 10 cases had been operated, and all results were consistent with paraffin pathology. No patient who underwent testis-sparing surgery showed recurrence and/or metastasis during follow-up, and their sexual function and fertility were well preserved. Conclusions: Testis-sparing surgery is reliable, and the size of the tumor determines its implementation. An intraoperative rapid frozen section examination should be performed in patients with testicular neoplasms of a benign or variable nature diagnosed before operation. Patients with benign testicular tumors should undergo testis-sparing surgery, whereas others should undergo radical orchiectomy.
