The role of preoperative differentiation in surgical decision-making for testicular tumors: a single-center data analysis of 121 testicular tumor patients
10.12483/j.issn.1009-8291.2026.06.008
- VernacularTitle:术前良恶性鉴别在睾丸肿瘤手术决策中的作用——单中心121例睾丸肿瘤患者的数据分析
- Author:
Long TIAN
1
;
Ge TIAN
2
;
Zhe LIU
2
;
Zejun REN
2
;
Jia GUO
2
;
Lin YANG
2
Author Information
1. Department of Urology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061; Department of Reproductive Andrology, The First Affiliated Hospital of Xi'an Medical University, Xi'an 710077, China
2. Department of Urology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061
- Publication Type:Journal Article
- Keywords:
testicular tumor;
testis-sparing surgery;
testicular tumor enucleation;
radical orchiectomy
- From:
Journal of Modern Urology
2026;31(6):547-551
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical value of preoperative assessment and intraoperative frozen section pathology in screening patients suitable for testicular preservation surgery, so as to provide reference for reducing unnecessary radical orchiectomy in patients with benign testicular tumors. Methods A retrospective analysis was conducted on 121 patients who underwent surgical treatment for testicular tumors in the First Affiliated Hospital of Xi'an Jiaotong University during Jan. 2021 and Sep. 2025. Data were collected, including demographic information, preoperative imaging, serum tumor markers, surgical procedures, intraoperative frozen section, postoperative pathology, and postoperative testicular volume changes. Results Among the 121 patients, 105 underwent radical orchiectomy, with 91 malignant and 14 benign cases confirmed by postoperative pathology; 16 received testicular tumor enucleation, all confirmed as benign. Benign lesions accounted for 24.79% (30/121) of all cases. In patients undergoing tumor enucleation, intraoperative frozen section results were fully consistent with final pathological findings. Conclusion Preoperative differentiation between benign and malignant testicular tumors is crucial for selecting the appropriate surgical approach. For patients with preoperative findings suggesting benign lesions, testicular tumor enucleation combined with intraoperative frozen section can achieve precise treatment while maximizing testicular preservation.
