Changing trends from inguinal radical orchiectomy to testis-sparing surgery in pediatric testicular tumors
African Journal of Urology, cilt.31, sa.1, 2025 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.1186/s12301-025-00482-1
- Dergi Adı: African Journal of Urology
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, Directory of Open Access Journals
- Anahtar Kelimeler: Testicular tumor, Testis-sparing surgery, Orchiectomy, Children
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: Pediatric testicular tumors are rare entities accounting for only 1–2% of all pediatric solid tumors. We aimed to present the experiences of a tertiary pediatric hospital on testicular tumors and to reveal the changing surgical treatment trends over the years. Methods: The patients who underwent surgery for scrotal tumors between 1992 and 2022 were reviewed retrospectively. The patients' demographic data, laboratory, radiologic, histopathological, and surgical findings, and postoperative follow-up were evaluated. The patients were evaluated as prepubertal, postpubertal, and in 10-year periods according to the operation time. Results: A total of 47 children were identified. The median age was 6.2 years. Twenty-eight (59.6%) patients had left, 14 (29.8%) right, and 5 (10.6%) bilateral testicular tumors. The size of the tumor varied between 1 and 6 cm. Thirty-two (68%) patients were prepubertal. Twenty-four of them were germ-cell tumors, and 79.2% of these patients were prepubertal. The most common germ cell tumors were the yolk sac tumor (n = 9) and mature cystic teratoma (n = 7). Paratesticular rhabdomyosarcoma (n = 6) was the most common paratesticular malignancy. Radical inguinal orchiectomy was performed in 21 and testis-sparing surgery was performed in 11 cases for primary testicular tumors. Testicular biopsy was performed in 9 cases for testicular involvement of Leukemia and Lymphoma. No recurrence was detected with a median follow-up of 6.5 years. Conclusion: Radical inguinal orchiectomy is still the standard surgical treatment for malignant testicular tumors. With the support of imaging methods, tumor markers, and intraoperative frozen examination, testis-sparing surgery should be preferred in prepubertal and some carefully selected postpubertal benign testicular tumors.