Summary: The aim of the study was to retrospectively evaluate our series of Testis Sparing Surgery (TSS) relating to the last 10 years and to discuss the feasibility, safety, and outcome of this treatment modality. Patients and Methods: we here present a series of 10 pediatric patients ranging from 9 to 15 years (mean age 11.9yrs) referred to our Institution for mono lateral testicular lesion accidentally detected at US or for indefinite testicular pain and submitted to TSS. The lesions measured from 6 to 20mm (mean 13.1 mm). Histological diagnosis showed 2 residues of adrenocortical tissue,1 epidermoid cyst,3 Large cell calcifying Sertoli cell tumor, 2 Leydig cell tumors; 1 Leydig cell hypertrophia; 1 gonadoblastoma. Surgery was performed through an inguinal approach by cold ischemia and with organ-sparing surgery. Results: Neither of the patients exhibited intraoperative or postoperative complications. After a mean follow-p of 6.7 years the patients were free of disease. Conclusion: Testis-sparing surgery by cold ischemia and frozen-section examination is advisable for pediatric patients with benign testicular masses.
Testis-Sparing Surgery in Children. Ten-Year Experience
Marte Antonio;Ronchi Andrea
2019
Abstract
Summary: The aim of the study was to retrospectively evaluate our series of Testis Sparing Surgery (TSS) relating to the last 10 years and to discuss the feasibility, safety, and outcome of this treatment modality. Patients and Methods: we here present a series of 10 pediatric patients ranging from 9 to 15 years (mean age 11.9yrs) referred to our Institution for mono lateral testicular lesion accidentally detected at US or for indefinite testicular pain and submitted to TSS. The lesions measured from 6 to 20mm (mean 13.1 mm). Histological diagnosis showed 2 residues of adrenocortical tissue,1 epidermoid cyst,3 Large cell calcifying Sertoli cell tumor, 2 Leydig cell tumors; 1 Leydig cell hypertrophia; 1 gonadoblastoma. Surgery was performed through an inguinal approach by cold ischemia and with organ-sparing surgery. Results: Neither of the patients exhibited intraoperative or postoperative complications. After a mean follow-p of 6.7 years the patients were free of disease. Conclusion: Testis-sparing surgery by cold ischemia and frozen-section examination is advisable for pediatric patients with benign testicular masses.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
