Clinicopathological study of testicular lesions

Abstract

Background: Testis is affected by both neoplastic and non neoplastic conditions. Non neoplastic lesions of the testis include epididymo-orchitis, testicular atrophy, undescended testis, testicular abscess etc. Testicular tumors are relatively rare. They constitute the 4th most common cause of death from neoplasia in the young males. This study was undertaken to study the histopathological spectrum, age wise distribution and clinical symptoms of testicular lesions.Methods: This is a retrospective study of three years conducted in the department of pathology, Aurangabad from June 2015 to May 2018. It included all the orchidectomy specimens received from the department of surgery and excluded the orchidectomy specimens sent for infertility and prostatic carcinoma. A detail clinical history was taken. Histopathological examination was done after routine processing and staining with H and E. The data collected was tabulated, analysed and compared to other similar studies.Results: We studied 70 cases. Non neoplastic testicular lesions were 57 and 13 were neoplastic. Non neoplastic testicular lesions were more common than the neoplastic ones. Non neoplastic testicular lesions presented most commonly in the 2nd decade. Most common non neoplastic lesion was epididymo-orchitis followed by torsion, atrophy and testicular abscess. Most common neoplasm was malignant mixed germ cell tumor. Most of the patients of neoplasms presented in the 3rd decade. The most common complaint was testicular swelling and pain.Conclusions: Majority of testicular lesions are non neoplastic. Neoplastic lesions are rare. Non neoplastic lesions mimic neoplastic ones clinically, as testicular swelling is the most common complaint. So histopathological diagnosis is necessary for an accurate diagnosis of testicular lesions.

Histopathological pattern of testicular lesions in tertiary care hospital: our experience of 84 cases

“…In the present study we found 4 cases of Non-Hodgkin's lymphoma (15.38%) similar to previous studies by Sanjay M et al 2016 [11] and Deore K et al 2015 [3] but it was higher than previous studies by Takumalla et al 2019 [13] . Dhawle M et al 2019 [12] reported seminoma constituting 30.70% and malignant mixed germ cell tumor constituting 46% which is in close agreement with present study…”

“…Manasi Sharma et al 2017 [7] reported 18.86% of cases of torsion. Dhawle M et al 2001 [12] reported 17.54% of cases of torsion. Fibrous pseudo tumor, spermatocele, orchitis with adrenal rest with spermatic cord represented 1 cases each (1.72%) Present study is comparable with the above studies.…”

The Histopathological Spectrum of Scrotal Lesions in a Tertiary Care Hospital: A Cross-Sectional Study

“…Unlike the present study, the most common age group, according to Dhawale et al [6], Sharma et al [3], and Baidya et al (2017) [7], was found to be 11-20 years (second decade). Most of the non-neoplastic lesions in this study contributed to the highest number of cases in the sixth decade.…”

“…The undescended testis (present in the upper part of the scrotal sac) was the presenting complaint in 8.5% of cases. Studies done by Dhawale et al [ 6 ], Sharma et al [ 3 ], and Nwafor et al [ 8 ] reported the most common presentation to be scrotal swelling. Our study showed comparable results.…”