Testicular tumours in prepubertal children: About eight cases

Khemakhem, Rachid; Yosra, Ben Ahmed; Jlidi, S.; Nouira, Faouzi; Fdhila, Faten; Charieg, A.; Ghorbel, S; Barsaoui, Sihem; Chaouachi, B.

doi:10.4103/0189-6725.115048

Cited by 4 publications

(3 citation statements)

References 7 publications

(22 reference statements)

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“…Testis tümörü olan çocuklar genellikle ağrısız, sert, tek taraflı skrotal kitle şikayetiyle başvurur (2)(3)(4)(5)(6). Bizim hasta grubumuzda da en sık başvuru şekli skrotal şişlikti.…”

Section: Discussionunclassified

“…Sonuç olarak testis tümörlerinin standart tedavisi cerrahidir ve çoğunlukla da tek başına yeterlidir (3,4). Cerrahi tedavi yöntemleri radikal inguinal orşiyektomi ve son zamanlarda giderek daha popüler hale gelen testis koruyucu cerrahidir (3)(4)(5)(6). Operasyon öncesi fizik muayeneye ek olarak ultrasonografi yapılması ve tümör belirteçlerinin değerlendirilmesi, operasyon planlaması açısından önemlidir.…”

Section: Discussionunclassified

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Çocuklarda Testis Tümörleri: Tek Merkez Deneyimi

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Karaman

Şahin

et al. 2015

Turkish J Pediatr Dis

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Amaç: Bu çalışmada ultrasonografi ve floroskopi eşliğinde yerleştirilen subkutanöz venöz port olgularının bulgu ve sonuçlarının değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Haziran 2012-Mayıs 2013 tarihleri arasında subkutanöz venöz port yerleştirilen 40 (17 kadın, 23 erkek; ortalama yaş: 57.63 ± 12.28) olgu retrospektif olarak değerlendirildi. Olguların demografik özellikleri, primer tanıları, port yerleştirilme endikasyonları, işlem tekniği, portun implantasyonu sonrası kullanım süresi, işlem sırasında ve kullanım sırasında gelişen komplikasyonlar ve çıkarılan port sayısı ile çıkarılma nedenleri araştırıldı. Bulgular: Otuz yedi olguda sağ internal juguler ven ve 3 olguda sol internal juguler ven ponksiyonu yapıldı. Hiçbir hastada hematom, hemotoraks ve pnömotoraks ile arteriyel ponksiyon gibi erken dönem gelişmedi. Tüm hastalarda port kateterin ucu atriokaval bileşke ya da sağ atrium üst kısmında olacak şekilde yerleştirildi. Portların kullanım süresi 3-327 (Ortalama: 141.5 ± 97.32) gün arasında değişmekteydi. Sonuç: Subkutanöz venöz port yerleştirilmesi, oluşabilecek sorunların bilinmesi ve bunlara yönelik gerekli önlemler alınarak ultrasonografi ve floroskopinin sağladığı kolaylıkla radyoloji ünitelerinde güvenli olarak yapılabilir. 40 patients (17 female, 23 male; mean age: 57,63 ± 12.28) who underwent subcutaneous venous port implantations were evaluated retrospectively. The demographic features, primary diagnosis, indications of implantation, technique of the implantation process, mean duration of port usage, the complications during the implantation process and during the port usage, the number of cases in which the port was removed, and the causes of the port removal were investigated. Results: Right internal jugular venous access was used in 37 patients, while left internal jugular venous access was used in 3 patients. There were no early period complications such as hematoma, pneumothorax, hemothorax, and arterial puncture. The tip of the port was placed in the junction of the right atrium and superior cava vein or in the proximal right atrium in all patients. The duration of the port usage was 3-327 days (mean: 141.5 ± 97.32 days). Conclusion: The ultrasound and floroscopy guided implantation of the venous ports can be safely performed with the knowledge of the probable complications, and when taking some preventions at radiology departments.

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Section: Discussionunclassified

Çocuklarda Testis Tümörleri: Tek Merkez Deneyimi

Balcı

Karaman

Şahin

et al. 2015

Turkish J Pediatr Dis

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“…Teratoma (mature and immature) and epidermoid cysts are the commonest prepubertal testicular benign germ-cell tumours [17] . Being benign and not tending to recur, and as metastasis is rare, testicular-sparing surgery has become the standard of care and a detailed follow-up is not necessary [6,8–11] .…”

Section: Discussionmentioning

confidence: 99%

Prepubertal testicular tumours: Should testicular-sparing surgery be considered? A single-institution experience and review of the literature

Zahran

Helmy

Hafez

et al. 2014

Arab Journal of Urology

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ObjectivesTo review our 10-year experience with uncommon testicular tumours in children (prepubertal testicular and paratesticular), to review previous reports, and to determine the appropriate management of these rare tumours, specifically the role of testicular-sparing surgery.Patients and methodsWe retrospectively reviewed all cases of testicular tumours managed at our institution between 1999 and 2009. Boys aged <16 years were included in the study. The patients’ characteristics, presentation, the diagnostic tools, tumour markers, mode of treatment, pathological findings and outcome were assessed. We reviewed previous reports that addressed testicular and paratesticular tumours in prepubertal boys, using a Medline/PubMed search.ResultsFrom 80 patients, 13 boys (median age 8.7 years) presented with testicular tumours (16%) and were included in the study. Two boys presented with precocious puberty and one with gynaecomastia. The level of α-fetoprotein was high in three boys, and the human chorionic gonadotrophin level was elevated in one, and both markers were high in one. Testicular-sparing surgery was performed in three boys. Six of the 13 tumours were malignant and seven were benign. None of the patients developed a recurrence or testicular atrophy after testicular-sparing surgery. From the review of previous reports we devised an evidence-based algorithm for managing prepubertal testicular tumours.ConclusionsPaediatric testicular tumours are rare but they require an inguinal approach for either orchidectomy or testicular-sparing surgery; we recommend the latter option as long as frozen sections are analysed and a safety margin is maintained.

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Clinical characteristics and long-term management of prepubertal testicular teratomas: a retrospective, multicenter study

Zhou

Sun

et al. 2023

Eur J Pediatr

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Prepubertal testicular teratomas are rare tumors with limited practical guidance for their management. This study aimed to analyze a large multicenter database to establish the optimal management of testicular teratomas. We retrospectively collected data on testicular teratomas in children younger than 12 years who underwent surgery without postoperative chemotherapy in three large professional children’s institutions in China between 2007 and 2021. The biological behavior and long-term outcomes of testicular teratomas were analyzed. In total, 487 children (with 393 mature teratomas and 94 immature teratomas) were included. Among mature teratomas, 375 cases were testis-sparing, 18 were orchiectomies, 346 were operated through the scrotal approach, and 47 underwent the inguinal approach. The median follow-up period was 70 months, and no recurrence or testicular atrophy was observed. Among the children with immature teratomas, 54 underwent testis-sparing surgery, 40 underwent orchiectomy, 43 were operated through the scrotal approach, and 51 were operated through the inguinal approach. Two cases of immature teratomas with cryptorchidism had local recurrence or metastasis within 1 year of the operation. The median follow-up duration was 76 months. No other patients had recurrence, metastasis, or testicular atrophy. Conclusion: Testicular-sparing surgery is the first treatment choice for prepubertal testicular teratomas, with the scrotal approach being a safe and well-tolerated strategy for these diseases. Additionally, patients with immature teratomas and cryptorchidism may have tumor recurrence or metastasis after surgery. Therefore, these patients should be closely followed up in the first year after surgery. What is Known:• There is a fundamental difference between testicular tumours in childhood and those in adulthood - not only in terms of the difference and incidence but also in terms of histology.• For surgical techniques, the inguinal approach is recommended for the treatment of testicular teratomas in children. What is New:• The scrotal approach being a safe and well-tolerated strategy for testicular teratomas in children.• Patients with immature teratomas and cryptorchidism may have tumor recurrence or metastasis after surgery. These patients should be closely followed up in the first year after surgery.

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Testicular tumours in prepubertal children: About eight cases

Cited by 4 publications

References 7 publications

Çocuklarda Testis Tümörleri: Tek Merkez Deneyimi

Çocuklarda Testis Tümörleri: Tek Merkez Deneyimi

Prepubertal testicular tumours: Should testicular-sparing surgery be considered? A single-institution experience and review of the literature

Clinical characteristics and long-term management of prepubertal testicular teratomas: a retrospective, multicenter study

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