High Incidence of Benign Testicular Neoplasms Diagnosed by Ultrasound

Carmignani, Luca; Gadda, Franco; Gazzano, Giacomo; Nerva, Franco; Mancini, Mario; Ferruti, M.; Bulfamante, Gaetano; Bòsari, Silvano; Coggi, Guido; Rocco, Francesco; Colpi, Giovanni M.

doi:10.1097/01.ju.0000092066.01699.90

Cited by 184 publications

(130 citation statements)

References 15 publications

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“…The masses in 28.6 % of the patients were revealed to be benign. This was discordant with some studies, which showed that nonpalpable benign masses constituted approximately 80 % [3,13,14]. The accuracy of FSE on testicular biopsy in differentiating between benign and malignant lesions has been proved; thus, its results can guide surgical management [15].…”

Section: Discussionsupporting

confidence: 50%

Efficacy of ultrasound-guided testicle-sparing surgery for small testicular masses

Dell’Atti¹

2015

J Ultrasound

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Purpose The aim of the present study was to evaluate evolution of conservative echo-guided surgery for testicular tumours B1.5 cm and to assess the safety of this surgical procedure. Methods 49 consecutive patients diagnosed with ultrasonography testicular lesions (mono or bilateral) B1.5 cm and treated with conservative echo-guided testicular surgery were examined. The parameters considered in this retrospective analysis included case history, physical examination, scrotal and abdominal ultrasonography, computed tomography scan, size of the nodule (maximum diameter), tumour markers, chest radiography, frozen section examination, histologic size of the tumour, overall survival (OS) and findings on follow-up. Results Mean age of patients was 33 years (range 18-62). Patients who presented with a palpable testicular nodule were 32.7 %, gynecomastia 10.2 %, precocious pseudopuberty 4 %, and scrotal pain 12.2 %. Permanent section examination confirmed the FSE data in all cases of certainty malignant lesion and definitive histological types were: 22 seminoma, 13 non-seminomatous or mixed germ cell tumours, 4 Leydig tumours, 2 hamartoma, 1 epidermoid cyst, 2 sertoli cell tumours, and 5 fibrous pseudotumour. No complications intra-and postoperative were observed. Overall survival was 100 % and scrotal US showed evidence of local tumour recurrence in 6 patients (12.2 %) after a mean follow-up of 34.7 months. ConclusionThe OS, the low rate of local recurrence, and absence of complications, tend to demonstrate the safety of the procedure. The benefits to testicular-sparing surgery include improving the patient's overall quality of life, fertility, endocrine function and negative cosmetic effects of radical orchiectomy.Keywords Testicular tumour Á Ultrasound Á Testiclesparing surgery Á Small testicular mass Á Non-palpable Riassunto Scopo del lavoro Lo scopo del presente studio è stato quello di valutare il ruolo della terapia chirurgia ecoguidata conservativa nel trattamento dei tumori testicolari B1.5 cm e valutarne la sicurezza ed efficacia. Metodi Furono esaminati 49 pazienti con diagnosi ecografica di lesione testicolare (mono o bilaterale) B1.5 cm e sottoposti a chirurgia testicolare conservativa ecoguidata. I parametri presi in considerazione in questo studio retrospettivo furono la storia clinica del paziente, l'esame obiettivo, l'ecografia scrotale ed addominale, la TAC, le dimensioni della lesione, i marcatori tumorali, la radiografia del torace, l'esame istologico estemporaneo e definitivo della lesione, il tasso di sopravvivenza globale e i risultati del follow-up. Risultati L'età media dei pazienti è stata di 33 anni (range 18-62). Il 32.7 % dei pazienti presentavano un nodulo testicolare apprezzabile palpatoriamente, il 10.2 % ginecomastia, il 4 % pseudopubertà precoce, mentre il 12.2 % dolore scrotale. In tutti i casi l'esame istologico definitivo delle lesioni tumorali aveva confermato i risultati riscontrati all'esame istologico estemporaneo. Gli istotipi definitivi furono: 22 tumori seminomatosi, 13...

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Section: Discussionsupporting

confidence: 50%

Efficacy of ultrasound-guided testicle-sparing surgery for small testicular masses

Dell’Atti¹

2015

J Ultrasound

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“…The incidence was 0,51% in the entire screened population, and 1,66% in the population of patients with complaints and findings. This is the same magnitude that was found by Carmignani and coworkers 61 when they compared testis-sparing surgery of TCs with standard orchiectomy. In their study on 1320 patients with scrotal or testicular symptoms, 27 (2,0%) had TC, and 17 (1,3%) of these tumors were palpable.…”

Section: Discussionsupporting

confidence: 74%

Early detection and treatment of certain malignant tumors

Horváth¹

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“…Görüntüleme yöntemlerinden ultrasonografik incelemelerin gü-nümüzde yaygın kullanımıyla çoğunlukla benign olduğu gösteril-miş küçük testiküler kitlelerin ve insidental saptanan testis tü-mörlerinin sayısı artmıştır [6]. Cerrahi tedavi sırasında frozen inceleme ile testiküler kitlelerin malign veya benign olduğunu doğru olarak tespit edebilmektedir [7].…”

Section: Introductionunclassified

Outcomes of Testis Sparing Surgery

Ozcan¹,

Gök²,

Arslan³

et al. 2013

Ann Clin Anal Med

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Anahtar KelimelerParsiyel Orşiektomi; Testis Tümörü; Testis Koruyucu Cerrahi Abstract Aim: Our aim was to review the indications and results of partial orchidectomy. Material and Method: We retrospectively investigated pathologic and demographic features of patients who underwent partial orchidectomy between February 2005 and December 2011. Results: Partial orchidectomy was performed on 7 patients aged between 2 and 30 years. Partial orchidectomy was performed for testicular tumour/mass on solitary testis, bilateral testicular tumour, trauma on 3,2,1 patients respectively. Pathologic examination of the patient who was undergone partial orchiectomy for testicular trauma revealed a mixed germ cell tumour that was detected incidentally. Discussion: Testis sparing surgery is a treatment option in selected cases with the davantages of fertility preservation and avoiding the need for long-term hormone replacement therapy.

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High Incidence of Benign Testicular Neoplasms Diagnosed by Ultrasound

Abstract: The incidental diagnosis of testicular ultrasound alterations is increasing and 80% show a benign histology. In these cases a conservative surgical approach is the best option and it does not expose the patient to the risk of relapse.

Cited by 184 publications

References 15 publications

Efficacy of ultrasound-guided testicle-sparing surgery for small testicular masses

Efficacy of ultrasound-guided testicle-sparing surgery for small testicular masses

Early detection and treatment of certain malignant tumors

Outcomes of Testis Sparing Surgery

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