Testis-sparing surgery for testicular tumors in children: a 20 year single center experience and systematic review of the literature

Bois, Juan I.; Vagni, Roberto; Badiola, Francisco Ignacio de; Moldes, Juan; Losty, Paul D.; Lobos, Pablo

doi:10.1007/s00383-020-04850-6

Cited by 12 publications

(7 citation statements)

References 43 publications

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“…Currently, orchiectomy is the preferred treatment for testicular spermatocytic tumor. The scope of surgical resection should include the testicular epididymis and a portion of the spermatic cord to ensure complete excision for the 10%-15% of testicular tumors that invade these structures[ 23 - 26 ]. Most spermatocytic tumors exhibit benign behavior, with a low potential for invasion and metastasis.…”

Section: Discussionmentioning

confidence: 99%

Spermatocytic tumor: A rare case report

Hao¹,

Li²

2021

WJCC

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BACKGROUND Spermatocytic tumor is a rare, malignant neoplasm of the testes. Since the prognosis for this tumor type is favorable, accurate diagnosis and differentiation from other malignant testicular neoplasms (classic seminoma and lymphoma) are crucial. To add to the existing literature on the diagnosis of spermatocytic tumor, herein we report the detailed clinical and histopathologic findings for a case that we encountered. CASE SUMMARY A 60-year-old Chinese man presented with a solid mass in the right scrotum. The mass was surgically removed and spermatocytic tumor was diagnosed. On microscopy, the tumor cells displayed an unusual arrangement in lobules, presenting a pseudo-glandular appearance. To summarize and compare the diagnostic features of this tumor and those of the differential diagnoses, we report our case findings and those mentioned in the literature for various testicular tumors. Although imaging methods can detect masses early in development, their diagnostic capabilities are limited. Biopsy, histopathology, and immunohistochemistry are necessary for confirmatory diagnosis. CONCLUSION It is important to identify and review the key diagnostic features of spermatocytic tumor.

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Section: Discussionmentioning

confidence: 99%

Spermatocytic tumor: A rare case report

Hao¹,

Li²

2021

WJCC

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“…Individual surgeon series and multi-centre reports of testicular and para-testicular pathology have shown benign lesions are more common in younger boys (up to 74%) compared to their adolescent and adult counterparts [ 2 – 5 ]. Our observations correlate with this finding, as 89% of lesions in our cohort were benign.…”

Section: Discussionmentioning

confidence: 99%

“…Our observations correlate with this finding, as 89% of lesions in our cohort were benign. TSS has, therefore, become an attractive option to avoid unnecessary orchidectomy in this age group [ 2 , 9 , 10 ]. Preserving testicular tissue has significant cosmetic and psychological advantages for children and important implications for future fertility [ 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Many other series looking at TSS in the paediatric population have small patient numbers [ 2 , 5 , 9 , 10 , 18 ], and our small cohort may simply reflect the rarity of the condition. As suggested by Radford et al ( 11 ), multi-centre collaboration would be a way to increase our sample size and is something to be considered for the future, looking at both TSS, as they suggest, but also at the accessibility and efficacy of FSE in different centres.…”

Section: Discussionmentioning

confidence: 99%

“…Traditionally paediatric testicular tumours have been managed according to adult protocols, with radical inguinal orchidectomy [ 1 , 2 ]. As the true incidence of malignant testicular pathology in childhood is much lower than previously thought [ 3 – 5 ], testis sparing surgery (TSS) has become a desirable and viable option.…”

Section: Introductionmentioning

confidence: 99%

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Frozen-section examination in the management of paediatric testicular lesions

et al. 2021

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Purpose Paediatric testicular and para-testicular lesions have traditionally been managed according to adult protocols. Testis-sparing surgery (TSS) has gained popularity as it has become apparent benign lesions predominate in childhood. Frozen-section examination (FSE) for intra-operative diagnosis has been extensively utilised in adults, though its use in paediatric practice remains limited. We reviewed our experience of FSE in paediatric patients with an aim to identify the utility and efficacy of this tool in the management of testicular and para-testicular pathology. Methods A retrospective, single-centre review of paediatric patients who underwent intra-operative FSE for a range of testicular and para-testicular lesions was performed. FSE results were compared to final pathology. TSS was performed if appropriate, and was utilised in adolescent patients, and in lesions with a diameter greater than 20 mm. Results Nine males underwent FSE from 2013 to 2020. Median age at surgery was 9 years (range 1–15). Eight (89%) patients had benign pathology. FSE result correlated with the final pathological examination in 100% of cases. FSE facilitated TSS in 7/9 cases. Conclusion FSE has 100% diagnostic accuracy for paediatric testicular and para-testicular pathology. We would recommend all lesions be evaluated by FSE to guide intra-operative decision making and facilitate TSS in appropriate cases.

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Testicular Tumors

Kliesch,

Schubert

2023

Andrology

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Testis-sparing surgery for testicular tumors in children: a 20 year single center experience and systematic review of the literature

Cited by 12 publications

References 43 publications

Spermatocytic tumor: A rare case report

Spermatocytic tumor: A rare case report

Frozen-section examination in the management of paediatric testicular lesions

Testicular Tumors

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