Clinicopathological study of testicular tumors: an experience in a tertiary care hospital in Kashmir valley, Jammu and Kashmir, India

Abstract

Background: Testicular and paratesticular neoplasia are rare type of tumors affecting adolescents and young adults in India, as observed by paucity of published data. This study was undertaken to analyze the patterns of testicular tumors at a tertiary level hospital in Kashmir valley, Jammu and Kashmir, India highlighting the patient’s demography, clinical presentation, diagnostic evaluation and pathological finding.Methods: This 5-year (retrospective and prospective) study was performed in the Department of Pathology, Government Medical College Srinagar, Jammu and Kashmir, India from January 2012 to December 2016. For the retrospective study, all cases of testicular tumors, their histopathological reports and required clinical details were searched from records maintained in the Department of Pathology, GMC Srinagar, Jammu and Kashmir, India. For the prospective study, the orchiedectomy specimens received in our department were subjected to routine histopathological processing followed by a detailed gross and microscopic examination. Tumour typing and subtyping was done according to WHO classification (2004).Results: A total of 37 cases of testicular and paratesticular neoplasia were included in present study with a mean age of 35.1 years. Out of these 37 cases, 31 (83.78%) were malignant and 6 cases (16.22%) were benign. Right testis was affected in 70.3% of cases. The most common clinical presentation was scrotal swelling. Germ cell tumor was the most common type accounting for 89.2% of tumors followed by lymphomas (8.1%).Conclusions:It is concluded that despite new techniques in imaging and tumor marker assay, the diagnosis of testicular tumors is dependent upon histopathological examination. The present study fairly provides an insight into the clinical presentations, prevalence and patterns of testicular tumors.

Clinicopathological Pattern of Testicular Tumors a 3-Years Experience at a Tertiary Care Urology Center

“…Testicular tumors are a shade common on the right side which reflects the increased incidence of undescended testis on the right. Beigh et al 7 , reported 70.3% right sided tumors and Deotra et al 8 , 60% as compared to 59.3% on right in our study. Bilateral tumors are seen in 1-2% with about half associated with undescended testis.…”

“…The testicular tumors are quite uncommon in underdeveloped areas like Pakistan, India and African countries as compared to the industrialized countries with higher socioeconomic status. An enormous difference can be appreciated from the fact that the maximum documented cases reporting in a year was seen in United Kingdom by Horwich et al 18 , which was 64.9 per year followed by Walschaerts et al 19 , from France with 53.2 per year, as compared to 1.5 from Nigeria 20 , and 7.4 from India 7 . In our study we documented 10.66 cases reporting in a year while in another study from Pakistan Mushtaq et al 10 , reported 21.4 cases in a year.…”

Primary Melanoma of Testis- A Case Report

“…Testicular cancer comprises approximately 1% of all the male cancers worldwide. 1,2 It is most commonly seen in younger age group. 3 The incidence of testicular tumors is on rising trend in western countries.…”

“…3 The incidence of testicular tumors is on rising trend in western countries. 1,3 The commonest presentation of testicular tumor is painless swelling of one gonad. 1 Tumors of germ cell origin account for 94% to 96% of all testicular neoplasms and sex cord stromal origin constitute 4% to 6 percent.…”

“…1,3 The commonest presentation of testicular tumor is painless swelling of one gonad. 1 Tumors of germ cell origin account for 94% to 96% of all testicular neoplasms and sex cord stromal origin constitute 4% to 6 percent. The remaining testicular neoplasms of diverse histologic types are rare and account for 1% of testicular tumors.…”