@article{article_332439, title={Childhood Testicular Tumors}, journal={Çağdaş Tıp Dergisi}, volume={8}, pages={34–36}, year={2018}, DOI={10.16899/gopctd.332439}, author={Bıçakçı, Ünal and Demirel, Dilek and Hancıoğlu, Sertaç and Arıtürk, Ender and Bernay, Ferit}, keywords={Çocukluk çağı testis tümörleri,frozen biyopsi,testis koruyucu cerrahi}, abstract={<p class="MsoNormal" style="text-align:justify;"> <b> <span lang="en-us" style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;" xml:lang="en-us">Objective </span> </b> <span lang="en-us" style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;" xml:lang="en-us"> </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;"> <span lang="en-us" style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;" xml:lang="en-us">Testicular tumors are rare in childhood In this study,
it was aimed evaluate our patients with testicular tumor. </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;"> <b> <span lang="en-us" style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;" xml:lang="en-us">Patients and methods </span> </b> <span lang="en-us" style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;" xml:lang="en-us"> </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;"> <span lang="en-us" style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;" xml:lang="en-us">Twenty patients had been evaluated between 2006- 2016
in terms of age, presenting symptoms, side, presence of metastasis, surgical
intervention, histopathological evaluation results, preoperative AFP and βhcg
levels. </span> </p> <p> </p> <p class="MsoNormal" style="margin-bottom:.0001pt;text-align:justify;"> <b> <span lang="en-us" style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;" xml:lang="en-us">Results </span> </b> <span lang="en-us" style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;" xml:lang="en-us"> </span> </p> <p> </p> <p class="MsoNormal" style="margin-bottom:.0001pt;text-align:justify;"> <span lang="en-us" style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;" xml:lang="en-us">Twenty patients were between 0.4
and 17.5 years old (median 8.8 years). 
Preoperative AFP values ​​were high in 9 (45%) patients (5 teratom and 4
endodermal sinus tumor) and βHCG values were high in 4 (20%) patients (3
teratom and 1 endodermal sinus tumor). At diagnosis, 5 patients had metastasis
( 2 luns and 3 retroperitoneal lymh nodes). 8 (40%) patients underwent
orchiectomy after frozen biopsy, 9 (45%) patients underwent orchiectomy, 1 (5%)
patient underwent testis sparing surgery after frozen biopsy. Histopathological
examination revealed that there was germ cell tumor in 13 (65%) patients including
endodermal sinus tumor in 5 (25%) patients, mixed germ cell tumor in 4 (20%)
patients, teratoma in 3 (15%) patients, seminoma in 1 patient), neoplastic infiltration
in 4 (20%) patients, </span> <span style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;">paratesticular </span> <span style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;"> <span lang="en-us" xml:lang="en-us">rhabdomyosarcoma in 2 (10%) patients and malign
mesenchymal tumor in 1 (5%) patient. 14 (70%) patients received chemotherapy
and 2 (10.5%) patients received radiotherapy. 
Metastases developed in 3 (15.7%) of the patients.  Two (10.5%) patients with neoplastic
infiltration were exitus. </span> </span> </p> <p> </p> <p class="MsoNormal" style="margin-bottom:.0001pt;text-align:justify;"> <span lang="en-us" style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;" xml:lang="en-us"> </span> </p> <p>  </p> <p class="MsoNormal" style="text-align:justify;"> <b> <span lang="en-us" style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;" xml:lang="en-us">Conclusion </span> </b> <span lang="en-us" style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;" xml:lang="en-us"> </span> </p> <p> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;"> <span lang="en-us" style="font-size:12pt;line-height:115%;font-family:Arial, ’sans-serif’;" xml:lang="en-us">In childhood testicular malignancies, testis sparing
surgery should be tried in appropriate patients.  Frozen biopsy is helpful in determining
surgical method. </span> </p> <p> </p>}, number={1}, publisher={Rabia YILMAZ}