Tumores paratesticulares. Descripción de nuestra casuistica general a lo largo de un periodo de 25 años / Paratesticular tumors. Description of our case series through a period of 25 years

OBJETIVO: Los tumores paratesticulares son masas de crecimiento lento e indolente y en la mayoría de los casos son benignos (70%), en cuyo caso el tratamiento es la exéresis local de la lesión y seguimiento basado únicamente en la observación. Aquellos identificados como malignos (30%) el tratamiento es más complejo, consistiendo en orquiectomía radical asociado a quimioterapia o radioterapia adyuvante. Este trabajo pretende describir nuestra casuística de masas paratesticulares de los últimos 25 años y hacer un análisis comparativo con los datos publicados en la literatura mundial. Describir nuestra experiencia con los tumores paratesticulares, su incidencia, datos demográficos y tratamiento en un período de 25 años. MÉTODOS: estudio descriptivo y retrospectivo en que se analizaron las historias clínicas de 16 pacientes con el diagnostico de tumor paratesticular tratados en el Hospital de Móstoles entre 1984 y 2010 analizando la edad, el tipo de tumor, el tratamiento y su seguimiento. RESULTADOS: La edad media fue de 50 años (rango: 16-88), se detectaron tumores benignos en un 76% y malignos en un 24% de los casos. El tumor más frecuentemente reportado en nuestra muestra fue el leiomioma (23,5%), con leve predominancia del lado derecho (53%), el epidídimo fue la localización más frecuente (50%) y tamaño medio de 4,9 cm de diámetro. El seguimiento medio fue de 34 meses sin ningún tipo de recidiva o complicación en ningún paciente. CONCLUSIONES: Aunque hasta un 76% de los tumores paratesticulares son de naturaleza benigna, es recomendable siempre hacer un análisis anatomopatológico intraoperatorio de todas las lesiones. Al tener un diagnóstico de benignidad la exéresis simple de la lesión es tratamiento de elección. En nuestro estudio la mayoría de los tumores paratesticulares se diagnosticaron en la edad adulta (media de 51 años), el más frecuente fue el leiomioma y la localización más habitual fue en el epidídimo(AU)

INTRODUCTION: Paratesticular tumors are masses of slow and indolent growth and in most cases of benign nature (70 %), being that the case, the treatment of choice is simple extirpation of the lesion and follow-up, based on observation only. On those identified as malignant (30 %), treatment is more complex, consisting in radical orchiectomy with adjuvant chemotherapy or radiotherapy. This work tries to describe our case series of paratesticular tumors over the last 25 years and to make a comparative analysis with the information published in the world literature. OBJECTIVE: To describe our experience with paratesticular tumors, their incidence, demographic data and treatment over a period of 25 years. METHODS: Descriptive study where we analyzed clinical data of 16 patients with the diagnosis of paratesticular tumor treated at Mostoles Hospital between 1984 and 2010 analyzing the age, type of tumor, treatment and follow-up. RESULTS: Mean age was 50 years (range: 16-88), benign tumors were detected in 76 % of the cases and malignant in 24%. The tumor more frequently found in our series was leiomyoma (23.5%), with slight predominance of the right side (53 %); the most frequent location was the epididymis (50%) and mean size was 4.9 cm of diameter. The mean follow up was 34 months without complications or tumor relapse in any patient. CONCLUSIONS: Despite only three-quarters of paratesticular tumors are non-malignant, it is always advisable to do intraoperative pathological analysis of all this masses. Having a non-malignant diagnosis, the treatment of choice is simple extirpation of the mass. In our study the majority of the tumors were diagnosed in adult age (average 51 years), the most frequent was leiomyoma and the most common location was the epididymis(AU)

Paratesticular tumors. Description of our case series through a period of 25 years.

INTRODUCTION: Paratesticular tumors are masses of slow and indolent growth and in most cases of benign nature (70 %), being that the case, the treatment of choice is simple extirpation of the lesion and follow-up, based on observation only. On those identified as malignant (30 %), treatment is more complex, consisting in radical orchiectomy with adjuvant chemotherapy or radiotherapy. This work tries to describe our case series of paratesticular tumors over the last 25 years and to make a comparative analysis with the information published in the world literature. OBJECTIVE: To describe our experience with paratesticular tumors, their incidence, demographic data and treatment over a period of 25 years. METHODS: Descriptive study where we analyzed clinical data of 16 patients with the diagnosis of paratesticular tumor treated at Mostoles Hospital between 1984 and 2010 analyzing the age, type of tumor, treatment and follow-up. RESULTS: Mean age was 50 years (range: 16-88), benign tumors were detected in 76 % of the cases and malignant in 24%. The tumor more frequently found in our series was leiomyoma (23.5%), with slight predominance of the right side (53 %); the most frequent location was the epididymis (50%) and mean size was 4.9 cm of diameter. The mean follow up was 34 months without complications or tumor relapse in any patient. CONCLUSIONS: Despite only three-quarters of paratesticular tumors are non-malignant, it is always advisable to do intraoperative pathological analysis of all this masses. Having a non-malignant diagnosis, the treatment of choice is simple extirpation of the mass. In our study the majority of the tumors were diagnosed in adult age (average 51 years), the most frequent was leiomyoma and the most common location was the epididymis.