Report on 44 cases of testicular benign tumors in children
Objective:To summarize the clinical data of benign testicular tumors,and explore the feasibility and effectiveness of testis-sparing surgery for testicular tumors in children.Methods:A retrospective analysis of clinical data on pediatric testicular tumors admitted to Cancer Center,Sun Yat-sen University from January 2010 to June 2023 was performed.Among them,there were 44 cases of benign testicular tumors.Preoperative evalua-tion data,postoperative pathological results,and follow-up data of patients with benign testicular tumors were collected,and analyzed.Results:Among 44 pediatric patients,there were 17 on the left side,25 on the right side,and 2 on both sides.The age range was from 3 months to 12 years old,and the median age was 8 years old.Thir-teen cases were younger than 2 years old.Among them,there were 22 cases of teratoma,18 cases of epidermoid cyst,2 cases of adenoma,and 2 cases of mesothelial cyst.All children were routinely tested for testicular cancer markers.Among them,2 cases presented with elevated serum alpha fetoprotein(AFP)level,but ultrasound ex-amination considered benign lesions.Then,both of them underwent radical orchiectomy.Preoperative ultrasound examination revealed malignant tumors in 4 patients,whose tumor markers were all within normal range.Among them,3 underwent radical surgery and 1 underwent testis-sparing surgery.A total of 23 children underwent radi-cal orchiectomy,while 21 cases underwent testis-sparing surgery.The follow-up period was 6-87 months,with a median time of 44 months.All interviewed patients did not have any complications such as tumor recurrence or residual testicular atrophy.Conclusion:Benign tumors account for a high proportion of testicular tumors in chil-dren,so perioperative evaluation of testicular tumors in children should be emphasized to avoid overtreatment.
NETL
NSTL
万方数据
