Testicular-sparing surgery for benign testicular tumors Journal Article


Authors: Pearse, I.; Glick, R. D.; Abramson, S. J.; Gerald, W. R.; Shamberger, R. C.; La Quaglia, M. P.
Article Title: Testicular-sparing surgery for benign testicular tumors
Abstract: Background/Purpose: Although there has been a precedent of testicular-sparing surgery in some centers, the authors find it is still not general practice among pediatric surgeons. To address this and emphasize the role of testicular-sparing surgery in children, four patients with testicular masses are presented who underwent this procedure. Methods: Four patients who underwent testicular-sparing surgery between the years 1993 and 1998 were reviewed. Demographic data, histopathology, and follow-up data were obtained from off ice charts. The period of follow-up ranged from 1 to 5 years. Results Four patients whose ages at diagnosis were 1, 2, 4, and 17 years presented with unilateral testicular masses. The alpha-fetoprotein and beta-human chorionic gonadotropin levels were within normal limits. Testicular ultrasonography was carried out on all patients, and groin exploration with spermatic cord isolation was performed in each case. After enucleation, frozen sections to confirm benignity was carried out before repair of the testis. Follow-up of 6 months to 5 years has shown no recurrence, and on examination, testicular volume is normal in all cases. Conclusions: Testicular-sparing surgery preserves testicular volume, which is important for both cosmetic and functional purposes. It is a viable and useful method in the management of benign testicular tumors in children. J Pediatr Surg 34:1000-1003. Copyright (C) 1999 by W.B. Saunders Company.
Keywords: teratoma; children; management; testis; testicular tumors; testicular-sparing surgery
Journal Title: Journal of Pediatric Surgery
Volume: 34
Issue: 6
ISSN: 0022-3468
Publisher: W.B. Saunders Co-Elsevier Inc.  
Date Published: 1999-06-01
Start Page: 1000
End Page: 1003
Language: English
ACCESSION: WOS:000080882600016
DOI: 10.1016/s0022-3468(99)90777-7
PROVIDER: wos
PUBMED: 10392922
Notes: Article -- Source: Wos
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  1. Richard D Glick
    10 Glick
  2. Iyabode A Pearse
    2 Pearse