Organ-sparing excision of pediatric testicular teratoma
https://doi.org/10.47183/mes.2021.010
Abstract
Pediatric testicular masses are rare pathologies. Many physicians, facing such masses for the first time, have trouble choosing the algorithm of assessment and surgical treatment tactics. Extent of surgery and surgical approach depend directly on preoperative assessment results. The clinical case of the incident testicular mass surgical treatment in a 15-year-old boy is reported. The patient underwent laboratory and instrumental examination, the results of which confirmed a benign lesion. Based on the data obtained, the organ-sparing surgical approach was selected. An assessment algorithm, treatment tactics for testicular mass based on the data obtained, advisability and safety of the organ-sparing treatment approach are reported.
About the Authors
I. V. Poddubnyi
A. I. Yevdokimov Moscow State University of Medicine and Dentistry; Federal Scientific and Clinical Center for Children and Adolescents of the FMBA of Russia
Russian Federation
Russian Federation
Moscow
K. N. Tolstov
Federal Scientific and Clinical Center for Children and Adolescents of the FMBA of Russia; A. I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Moscow
E. V. Fedorova
A. I. Yevdokimov Moscow State University of Medicine and Dentistry; Federal Scientific and Clinical Center for Children and Adolescents of the FMBA of Russia
Russian Federation
Russian Federation
Moscow
V. O. Trunov
Federal Scientific and Clinical Center for Children and Adolescents of the FMBA of Russia
Russian Federation
Russian Federation
Moscow
M. M. Khanov
Federal Scientific and Clinical Center for Children and Adolescents of the FMBA of Russia
Russian Federation
Russian Federation
Mamai M. Khanov
Moskvorechye, 20, Moscow, 115409
A. S. Malashenko
Federal Scientific and Clinical Center for Children and Adolescents of the FMBA of Russia
Russian Federation
Russian Federation
Moscow
V. V. Sytkov
A. I. Yevdokimov Moscow State University of Medicine and Dentistry; Federal Scientific and Clinical Center for Children and Adolescents of the FMBA of Russia
Russian Federation
Russian Federation
Moscow
A. O. Mager
A. I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Moscow
A. S. Ranshakov
A. I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Moscow
References
1. Pohl H.G., Shukla A.R., Metcalf P.D., Cilento B.G., Retik A.B., Bagli D.J., Huff D.S., Rushton H.G. Prepubertal testis tumors: actual prevalence rate of histological types. J Urol. 2004 Dec; 172 (6 Pt 1): 2370–2. DOI: 10.1097/01.ju.0000144402.13556.74. PMID: 15538270.
2. Walsh T.J., Grady R.W., Porter M.P., Lin D.W., Weiss N.S. Incidence of testicular germ cell cancers in U.S. children: SEER program experience 1973 to 2000. Urology. 2006 Aug; 68 (2): 402–5; discussion 405. DOI: 10.1016/j.urology.2006.02.045. PMID: 16904461.
3. Chung J.M., Lee S.D. Overview of pediatric testicular tumors in Korea. Korean J Urol. 2014 Dec; 55 (12): 789–96. DOI: 10.4111/ kju.2014.55.12.789. Epub 2014 Dec 5. PMID: 25512812; PMCID: PMC4265712.
4. Gill M.S., Shah S.H., Soomro I.N., Kayani N., Hasan S.H. Morphological pattern of testicular tumors. J Pak Med Assoc. 2000 Apr; 50 (4): 110–3. PMID: 10851829.
5. Germinogennye opuholi u muzhchin. Klinicheskie rekomendacii. Ministerstvo zdravoohranenija RF, 2020 g. Dostupno po ssylke: https://nop2030.ru/files/2019/08/048.pdf. Russian.
6. Williamson S.R., Delahunt B., Magi–Galluzzi C., Algaba F., Egevad L., Ulbright T.M., et al. The World Health Organization 2016 classification of testicular germ cell tumours: a review and update from the International Society of Urological Pathology Testis Consultation Panel. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/his.13102.
7. Sangüesa C., Veiga D., Llavador M., Serrano A. Testicular tumours in children: an approach to diagnosis and management with pathologic correlation. Insights Imaging. 2020; 11 (1): 74. Published 2020 May 27. DOI: 10.1186/s13244-020-00867-6.
8. Romo Muñoz M.I., Núñez Cerezo V., Dore Reyes M., Vilanova Sánchez A., González-Peramato P., López Pereira P., et al. Tumores testiculares en la edad pediátrica: indicaciones de la cirugía conservadora [Testicular tumours in children: Indications for testis-sparing surgery]. An Pediatr (Barc). 2018 May; 88 (5): 253–8. DOI: 10.1016/j.anpedi.2017.05.009. Epub 2017 Jul 17. PMID: 28729185. Spanish.
9. Kooij C.D., Hulsker C.C.C., Kranendonk M.E.G., et al. Testis Sparing Surgery in Pediatric Testicular Tumors. Cancers (Basel). 2020; 12 (10): 2867. Published 2020 Oct 6. DOI: 10.3390/cancers12102867.
10. Rohoev M.A. Opuholi jaichka i paratestikuljarnye opuholi u detej. Diagnostika, lechenie [dissertacija]. M., 2014. Russian.
11. Brosman S.A. Testicular tumors in prepubertal children. Urology. 1979; 13 (6): 581–8.
Review
For citations:
Poddubnyi I.V., Tolstov K.N., Fedorova E.V., Trunov V.O., Khanov M.M., Malashenko A.S., Sytkov V.V., Mager A.O., Ranshakov A.S. Organ-sparing excision of pediatric testicular teratoma. Extreme Medicine. 2021;23(2):63-66. https://doi.org/10.47183/mes.2021.010
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