Four years of experience in the management of testicular germ cell tumors at a Urology department of Health Center Vranje

Abstract

Objectives: The aim of this paper is to performed a retrospective descriptive study between the years 2009 and 2013 analyzing 24 patients treated for testicular cancer at a Urology department of Health Center Vranje, including in the analysis tumor incidence, the patient?s age, patient?s time before treatment, histological type and their typical characteristics, oncological treatment, tumor progression and mortality rate. There were 13 rights sided and 11 left sided tumor presented and all of them unilateral. The average age of the patients was 36 years old in the group of patients with seminoma, 28 years old with mixed tumors, 26 years old average with embryonal carcinoma. One patient presented himself with fibrous histiocytoma was 14 year old and one patient with laydig cell tumor was 65 years old in the time of diagnosis. Two patients who were diagnosed with testicular lymphoma were 69 year old in average. Hystopathological findings revealed: 11 cases of seminoma, 5 cases of mixed cell tumors, 4 cases with embryonal carcinoma, 2 case with non Hodgkin?s lymphoma and one case of laydig cell tumor and one case of fibrous histiocytoma. The entire patient underwent standard chemo therapy with cis platinum for testicular cancer. One of the patients with mixed tumor underwent RPLND (retroperitoneal lymph node dissection) but soon died after administration of chemotherapy - PEB (cisplatin, etoposide and bleomycin). All of the patient, except the four of them with who we lost contact and the one deceased are decease free and attend regular follow ups to this day.