Analysis of diagnosis and treatment of primary testicular tumors in children

ABSTRACT

Objeotiver To discuss the diagnosis and treatment of primary testicular tumors in children. Methods Thirty twe patients who underwent treatment of primary testicular tumors in children between 5 months and 12 years from 1993 to 2003 were retrospectively reviewed. Frozen section pathological examination during in operation was done in all the patients. Depending on it, testicle sparing surgery or radical orchidectomy was performed accordingly. Twenty patients with malignant testicular tumors under went chemotherapy after surgery. Results There was no contradiction between the findings of paraftin section pathological examination and frozen section. The average follow up period in 24 patients was 73 months (ranged from 5 months to 7 years). Four patients with yolk sac tumor died of distant metastasis of the tumor in 1 year after surgery. Others were alive without tumor for 4 months to 7 years. Conclusious Ultrasonography was valuable for the diagnosis of the primary testicular tumor. Surgery should be the treatment of first choice. It was important to send for frozen section pathology during operation. According to frozen section findings, it could be decided whether the testis could be spared, which is of importance in regard to aesthetics, psychology and function for children with benign testicular tumors. Postoperative chemotherapy was beneficial in raising surrival rate in children with malignant tumors in whom the prognosis was poor