Multicenter retrospective study on benign testicular tumors in children: save as much as you can……please.

Autor: Santos M; Clinica Alemana Santiago, Av. Vitacura 5951. Vitacura, Santiago, Chile. mariasantosc@gmail.com., Bois J; Hospital Italiano, Buenos Aires, Argentina., Flores P; Hospital Garrahan, Buenos Aires, Argentina., Garzón L; Hospital Simon Bolivar, Bogotá, Colombia., Freitas P; Hospital de Clinicas USP, Sao Paolo, Brasil., Mendoza I; Hospital Exequiel Gonzalez Cortes, Santiago, Chile., Sierralta C; Hospital Luis Calvo Mackenna, Santiago, Chile., Arboleda-Bustan JE; Hospital Dr Roberto Gilbert, Guayaquil, Ecuador., García J; Hospital Dr Roberto Gilbert, Guayaquil, Ecuador., Rodríguez J; Hospital Luis Calvo Mackenna, Santiago, Chile., Acuña C; Clinica Alemana Santiago, Av. Vitacura 5951. Vitacura, Santiago, Chile., Reed F; Hospital Exequiel Gonzalez Cortes, Santiago, Chile., Machado M; Hospital de Clinicas USP, Sao Paolo, Brasil., Cadena Y; Hospital Simon Bolivar, Bogotá, Colombia., Corbetta JP; Hospital Garrahan, Buenos Aires, Argentina., Moldes JM; Hospital Italiano, Buenos Aires, Argentina., López E P-; Clinica Alemana Santiago, Av. Vitacura 5951. Vitacura, Santiago, Chile.
Jazyk: angličtina
Zdroj: Pediatric surgery international [Pediatr Surg Int] 2023 Mar 28; Vol. 39 (1), pp. 162. Date of Electronic Publication: 2023 Mar 28.
DOI: 10.1007/s00383-023-05444-8
Abstrakt: Background: Testicular tumors (TT) are infrequent in pediatric patients, representing 1% of pediatric solid tumors; benign testicular tumors (BTT) are the most common. We present a multicenter study aiming to describe the incidence, histology and surgical technique of BTT, with special emphasis on which approach could present better outcomes.
Methods: The records of pediatric patients diagnosed with BTT between 2005 and 2020 from 8 centers in 5 different countries in Latin-America, were reviewed.
Results: Sixty two BTTs were identified. 73% tumors presented as a testicular mass, and 97% underwent testicular ultrasound as the initial imaging study, all of them had findings suggestive of a benign tumor. 87% had preoperative tumor markers (AFP and BHCG). In 66%, an intraoperative biopsy was done and 98% of the intraoperative biopsies were concordant with the final pathology report. Tumorectomy was performed in 81% of patients and total orchiectomy in the remaining 19%. Six percentage of patients underwent a subsequent orchiectomy. Mean follow-up was 39 months (1-278 months) where no cases of atrophy were observed clinically or on ultrasound. Fertility was not evaluated in this series.
Conclusions: Proper management of BTTs is essential to avoid unnecessary orchiectomies. Preoperative ultrasound associated with intraoperative biopsy seems accurate in identifying benign pathology, thus enabling conservative testicular surgery with safety margins. Based on this multicenter series, we suggest performing an intraoperative biopsy with subsequent tumorectomy preserving healthy testicular tissue in BTT.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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