Changing trends from inguinal radical orchiectomy to testis-sparing surgery in pediatric testicular tumors
Abstract Aim Pediatric testicular tumors are rare entities accounting for only 1–2% of all pediatric solid tumors. We aimed to present the experiences of a tertiary pediatric hospital on testicular tumors and to reveal the changing surgical treatment trends over the years. Methods The patients who u...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2025-02-01
|
| Series: | African Journal of Urology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12301-025-00482-1 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832571554681061376 |
|---|---|
| author | Özlem Balcı Aslı Nur Abay Şule Yeşil İbrahim Karaman İsmet Faruk Özgüner Burçak Kurucu Derya Erdoğan Gürses Şahin Ayşe Karaman |
| author_facet | Özlem Balcı Aslı Nur Abay Şule Yeşil İbrahim Karaman İsmet Faruk Özgüner Burçak Kurucu Derya Erdoğan Gürses Şahin Ayşe Karaman |
| author_sort | Özlem Balcı |
| collection | DOAJ |
| description | Abstract Aim Pediatric testicular tumors are rare entities accounting for only 1–2% of all pediatric solid tumors. We aimed to present the experiences of a tertiary pediatric hospital on testicular tumors and to reveal the changing surgical treatment trends over the years. Methods The patients who underwent surgery for scrotal tumors between 1992 and 2022 were reviewed retrospectively. The patients' demographic data, laboratory, radiologic, histopathological, and surgical findings, and postoperative follow-up were evaluated. The patients were evaluated as prepubertal, postpubertal, and in 10-year periods according to the operation time. Results A total of 47 children were identified. The median age was 6.2 years. Twenty-eight (59.6%) patients had left, 14 (29.8%) right, and 5 (10.6%) bilateral testicular tumors. The size of the tumor varied between 1 and 6 cm. Thirty-two (68%) patients were prepubertal. Twenty-four of them were germ-cell tumors, and 79.2% of these patients were prepubertal. The most common germ cell tumors were the yolk sac tumor (n = 9) and mature cystic teratoma (n = 7). Paratesticular rhabdomyosarcoma (n = 6) was the most common paratesticular malignancy. Radical inguinal orchiectomy was performed in 21 and testis-sparing surgery was performed in 11 cases for primary testicular tumors. Testicular biopsy was performed in 9 cases for testicular involvement of Leukemia and Lymphoma. No recurrence was detected with a median follow-up of 6.5 years. Conclusion Radical inguinal orchiectomy is still the standard surgical treatment for malignant testicular tumors. With the support of imaging methods, tumor markers, and intraoperative frozen examination, testis-sparing surgery should be preferred in prepubertal and some carefully selected postpubertal benign testicular tumors. |
| format | Article |
| id | doaj-art-eba36fe7a114425a9a1922e9e25e54ec |
| institution | Kabale University |
| issn | 1961-9987 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | African Journal of Urology |
| spelling | doaj-art-eba36fe7a114425a9a1922e9e25e54ec2025-02-02T12:30:48ZengSpringerOpenAfrican Journal of Urology1961-99872025-02-013111710.1186/s12301-025-00482-1Changing trends from inguinal radical orchiectomy to testis-sparing surgery in pediatric testicular tumorsÖzlem Balcı0Aslı Nur Abay1Şule Yeşil2İbrahim Karaman3İsmet Faruk Özgüner4Burçak Kurucu5Derya Erdoğan6Gürses Şahin7Ayşe Karaman8Zeynep Kamil Women and Children Diseases Training and Research HospitalUniversity of Health Sciences; Dr Sami Ulus Maternity and Children’s Health and Diseases Training and Research HospitalUniversity of Health Sciences; Dr Sami Ulus Maternity and Children’s Health and Diseases Training and Research HospitalUniversity of Health Sciences; Dr Sami Ulus Maternity and Children’s Health and Diseases Training and Research HospitalUniversity of Health Sciences; Dr Sami Ulus Maternity and Children’s Health and Diseases Training and Research HospitalUniversity of Health Sciences; Dr Sami Ulus Maternity and Children’s Health and Diseases Training and Research HospitalUniversity of Health Sciences; Dr Sami Ulus Maternity and Children’s Health and Diseases Training and Research HospitalUniversity of Health Sciences; Dr Sami Ulus Maternity and Children’s Health and Diseases Training and Research HospitalUniversity of Health Sciences; Dr Sami Ulus Maternity and Children’s Health and Diseases Training and Research HospitalAbstract Aim Pediatric testicular tumors are rare entities accounting for only 1–2% of all pediatric solid tumors. We aimed to present the experiences of a tertiary pediatric hospital on testicular tumors and to reveal the changing surgical treatment trends over the years. Methods The patients who underwent surgery for scrotal tumors between 1992 and 2022 were reviewed retrospectively. The patients' demographic data, laboratory, radiologic, histopathological, and surgical findings, and postoperative follow-up were evaluated. The patients were evaluated as prepubertal, postpubertal, and in 10-year periods according to the operation time. Results A total of 47 children were identified. The median age was 6.2 years. Twenty-eight (59.6%) patients had left, 14 (29.8%) right, and 5 (10.6%) bilateral testicular tumors. The size of the tumor varied between 1 and 6 cm. Thirty-two (68%) patients were prepubertal. Twenty-four of them were germ-cell tumors, and 79.2% of these patients were prepubertal. The most common germ cell tumors were the yolk sac tumor (n = 9) and mature cystic teratoma (n = 7). Paratesticular rhabdomyosarcoma (n = 6) was the most common paratesticular malignancy. Radical inguinal orchiectomy was performed in 21 and testis-sparing surgery was performed in 11 cases for primary testicular tumors. Testicular biopsy was performed in 9 cases for testicular involvement of Leukemia and Lymphoma. No recurrence was detected with a median follow-up of 6.5 years. Conclusion Radical inguinal orchiectomy is still the standard surgical treatment for malignant testicular tumors. With the support of imaging methods, tumor markers, and intraoperative frozen examination, testis-sparing surgery should be preferred in prepubertal and some carefully selected postpubertal benign testicular tumors.https://doi.org/10.1186/s12301-025-00482-1Testicular tumorTestis-sparing surgeryOrchiectomyChildren |
| spellingShingle | Özlem Balcı Aslı Nur Abay Şule Yeşil İbrahim Karaman İsmet Faruk Özgüner Burçak Kurucu Derya Erdoğan Gürses Şahin Ayşe Karaman Changing trends from inguinal radical orchiectomy to testis-sparing surgery in pediatric testicular tumors African Journal of Urology Testicular tumor Testis-sparing surgery Orchiectomy Children |
| title | Changing trends from inguinal radical orchiectomy to testis-sparing surgery in pediatric testicular tumors |
| title_full | Changing trends from inguinal radical orchiectomy to testis-sparing surgery in pediatric testicular tumors |
| title_fullStr | Changing trends from inguinal radical orchiectomy to testis-sparing surgery in pediatric testicular tumors |
| title_full_unstemmed | Changing trends from inguinal radical orchiectomy to testis-sparing surgery in pediatric testicular tumors |
| title_short | Changing trends from inguinal radical orchiectomy to testis-sparing surgery in pediatric testicular tumors |
| title_sort | changing trends from inguinal radical orchiectomy to testis sparing surgery in pediatric testicular tumors |
| topic | Testicular tumor Testis-sparing surgery Orchiectomy Children |
| url | https://doi.org/10.1186/s12301-025-00482-1 |
| work_keys_str_mv | AT ozlembalcı changingtrendsfrominguinalradicalorchiectomytotestissparingsurgeryinpediatrictesticulartumors AT aslınurabay changingtrendsfrominguinalradicalorchiectomytotestissparingsurgeryinpediatrictesticulartumors AT suleyesil changingtrendsfrominguinalradicalorchiectomytotestissparingsurgeryinpediatrictesticulartumors AT ibrahimkaraman changingtrendsfrominguinalradicalorchiectomytotestissparingsurgeryinpediatrictesticulartumors AT ismetfarukozguner changingtrendsfrominguinalradicalorchiectomytotestissparingsurgeryinpediatrictesticulartumors AT burcakkurucu changingtrendsfrominguinalradicalorchiectomytotestissparingsurgeryinpediatrictesticulartumors AT deryaerdogan changingtrendsfrominguinalradicalorchiectomytotestissparingsurgeryinpediatrictesticulartumors AT gursessahin changingtrendsfrominguinalradicalorchiectomytotestissparingsurgeryinpediatrictesticulartumors AT aysekaraman changingtrendsfrominguinalradicalorchiectomytotestissparingsurgeryinpediatrictesticulartumors |