Abstract
Amaç: Çocuklarda testis tümörleri oldukça nadirdir ve çocukluk çağı solid tümörlerinin %1’ini oluşturur. Çocuklarda testis tümörlerine yaklaşımda farklılıklar mevcuttur. Çalışmada kliniğimizde testis tümörü nedeniyle cerrahi tedavi uygulanmış olan hastaların değerlendirilmesi yapıldı.Gereç ve Yöntemler: 2004-2014 yılları arasında tanı alan tüm testis tümörlü olgular geriye dönük olarak değerlendirildi. Klinik özellikleri, demografik özellikleri, tanı yöntemleri, tedavi yöntemleri ve sonuçları incelendi.Bulgular: Testis tümörü olan 22 çocuk çalışmaya alındı. Hastaların yaşları 3.5 ay ile 16.5 yaş arasında değişiyordu. Hastaların 12’sinde germ hücreli tümör tespit edildi (%55). Hastaların yarısı ağrısız tek taraflı skrotal kitle nedeniyle başvurdu. Çoğunluğu (%82) sol taraftaydı. Tüm hastalar opere edildi. On üç hastaya radikal inguinal orşiyektomi, 6 hastaya da testis koruyucu cerrahi uygulandı. Lenfoma düşünülen 3 hastadan ise sadece testis biyopsisi alındı.Sonuç: Testis tümörlerinin standart tedavisi cerrahidir ve çoğunlukla da tek başına yeterlidir. Benign tümörlerde testis koruyucu cerrahi uygun tedavi yöntemi olarak görülmektedir.
Keywords
References
- Ciftci AO, Bingöl-Koloğlu M, Şenocak ME, Tanyel FC, Büyükpamukçu M, Büyükpamukçu N. Testicular tumors in children. J Pediatr Surg 2001;36:1796-801.
- Yılmaz Ö, Genç A, Taneli C. Çocukluk çağı testis tümörleri. Turkiye Klinikleri J Pediatr Sci 2005;1:46-50.
- Zamilpa I, Koyle MA. Pediatric testicular tumors. In: Mattei P, (ed). Fundamentals of Pediatric Surgery. New York: Springer, 2011:749- 53.
- Lee JJ, Dairiki Shortliffe LM. Undescended testes and testicular tumors. In: Holcomb III GW, Murphy PJ, Ostlie DJ, (eds). Ashcraft’s Pediatric Surgery. Philadelphia: Elsevier, Saunders, Ch. 51 2014; 689-701.
- Bujons A, Sfulcini JC, Pascual M, Feu OA, Garat JM, Villavicencio H. Prepubertal testicular tumours and efficacy of testicular preserving surgery. BJU Int 2011;107:1812-6.
- Khemakhem R, Ahmed YB, Jlidi S, Nouira F, Fdhila F, Charieg A, et al. Testicular tumours in prepubertal children: About eight cases. Afr J Paediatr Surg 2013;10:176-9.
- Cecchetto G. Gonadal germ cell tumors in children and adolescents. J Indian Assoc Pediatr Surg 2014;19:189-94.
- Hisamatsu E, Takagi S, Nakagawa Y, Sugita Y, Yoshino K, Ueoka K, Tanikaze S. Prepubertal testicular tumors: A 20-year experience with 40 cases. Int J Urol 2010;17;956–9.
- Taskinen S, Fagerholm R, Aronniemi J, Rintala R, Taskinen M. Testicular tumors in children and adolescents. J Pediatr Urol 2008;4:134-7.
- Aycan Z, Baş VN, Çetinkaya S, Yılmaz Ağladıoğlu S, Tiryaki T. Prevalence and long-term follow-up outcomes of testicular adrenal rest tumours in children and adolescent males with congenital adrenal hyperplasia. Clin Endocrinol (Oxf) 2013;78:667-72.
Abstract
Objective: Pediatric testicular tumors are very rare and constitute only 1% of all pediatric solid tumors. There are some differences in management of pediatric testicular tumors. Herein we aimed to evaluate the patients who underwent surgery for pediatric testicular tumors in our clinic.Material and Methods: A retrospective review of all testicular tumors diagnosed between 2004 and 2014 was performed. We analyzed the clinical characteristics, demographic features, diagnostic procedures, treatment methods and outcome.Results: A total of 22 children with pediatric testicular tumors were identified. Ages varied from 3.5 months to 16.5 years. Twelve cases were germ-cell tumors (55%). Half of the patients presented with a painless scrotal mass. Most cases (82%) were on the left side. All this children underwent surgery. Radical inguinal orchiectomy was performed in 13 cases and a testis-sparing procedure was performed in 6 cases. Only testicular biopsy was performed in 3 cases because of a presumptive diagnosis of lymphoma. conclusion: Surgery is the standard treatment of testis tumors and is often enough by itself. Testis-preserving surgery appears to be a feasible option for benign tumors
Keywords
References
- Ciftci AO, Bingöl-Koloğlu M, Şenocak ME, Tanyel FC, Büyükpamukçu M, Büyükpamukçu N. Testicular tumors in children. J Pediatr Surg 2001;36:1796-801.
- Yılmaz Ö, Genç A, Taneli C. Çocukluk çağı testis tümörleri. Turkiye Klinikleri J Pediatr Sci 2005;1:46-50.
- Zamilpa I, Koyle MA. Pediatric testicular tumors. In: Mattei P, (ed). Fundamentals of Pediatric Surgery. New York: Springer, 2011:749- 53.
- Lee JJ, Dairiki Shortliffe LM. Undescended testes and testicular tumors. In: Holcomb III GW, Murphy PJ, Ostlie DJ, (eds). Ashcraft’s Pediatric Surgery. Philadelphia: Elsevier, Saunders, Ch. 51 2014; 689-701.
- Bujons A, Sfulcini JC, Pascual M, Feu OA, Garat JM, Villavicencio H. Prepubertal testicular tumours and efficacy of testicular preserving surgery. BJU Int 2011;107:1812-6.
- Khemakhem R, Ahmed YB, Jlidi S, Nouira F, Fdhila F, Charieg A, et al. Testicular tumours in prepubertal children: About eight cases. Afr J Paediatr Surg 2013;10:176-9.
- Cecchetto G. Gonadal germ cell tumors in children and adolescents. J Indian Assoc Pediatr Surg 2014;19:189-94.
- Hisamatsu E, Takagi S, Nakagawa Y, Sugita Y, Yoshino K, Ueoka K, Tanikaze S. Prepubertal testicular tumors: A 20-year experience with 40 cases. Int J Urol 2010;17;956–9.
- Taskinen S, Fagerholm R, Aronniemi J, Rintala R, Taskinen M. Testicular tumors in children and adolescents. J Pediatr Urol 2008;4:134-7.
- Aycan Z, Baş VN, Çetinkaya S, Yılmaz Ağladıoğlu S, Tiryaki T. Prevalence and long-term follow-up outcomes of testicular adrenal rest tumours in children and adolescent males with congenital adrenal hyperplasia. Clin Endocrinol (Oxf) 2013;78:667-72.
Details
| Other ID | JA62UU83PT |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | August 1, 2015 |
| Submission Date | August 1, 2015 |
| Published in Issue | Year 2015 Volume: 9 Issue: 3 |
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