The online version of this article (doi:10.1186/s12893-017-0230-1) contains supplementary material, which is available to authorized users.
Testis-sparing surgery is not popular in South China. This study aimed to investigate this procedure for pediatric testicular tumors.
Children with testicular benign tumors were retrospectively analyzed from January 2001 to June 2015 in the Sun Yat-sen University Cancer Center (SYSUCC) and the First Affiliated Hospital (SYSU-1st). Follow-up was performed until June 2016, and the proportions of TSS in the two hospitals during the different periods were compared.
Forty-seven children with testicular benign tumors were enrolled, and 16 cases underwent testis-sparing surgery. All patients were cured and discharged, which included mature teratoma (n = 37), testicular adrenal rest tumors (n = 4), epidermal cysts (n = 3), granulomatous inflammation (n = 2) and adenomatoid tumors (n = 1). Inguinal testis-sparing surgery was performed in 16 children, and no recurrence was detected during follow-up. It was performed more frequently in SYSUCC than in SYSU-1st (P = 0.031), and the tumor size of these patients was smaller than those of patients who underwent radical orchiectomy (P = 0.044). Moreover, testis-sparing surgery has become more common in the past 5 years, although differences over time have not reached significance (P = 0.051).
Testis-sparing surgery is reliable, and tumor size and special hospitals affect its success. Additionally, its use has become more popular in recent years. However, advocacy is still needed for the use of this technique in pediatric testicular benign tumors that are small sized.
Additional file 1: Clinical characters of children with testicular benign tumors. (PDF 24 kb)12893_2017_230_MOESM1_ESM.pdf
Walsh TJ, Grady RW, Porter MP, Lin DW, Weiss NS. Incidence of testicular germ cell cancers in U.S. children: SEER program experience 1973 to. Urology. 2000;68(2):402–5. discussion 405. CrossRef
Kaplan GW, Cromie WC, Kelalis PP, Silber I, Tank Jr ES. Prepubertal yolk sac testicular tumors--report of the testicular tumor registry. J Urol. 1988;140(5 Pt 2):1109–12. PubMed
Ye YL, Qin ZK, Zhou FJ, Han H, Liu ZW, Yu SL, Li YH, Chen ZF. Clinical analysis of stage I pediatric testicular yolk sac tumors: a report of ten cases. Ai Zheng. 2008;27(11):1226–8. PubMed
Xu X, Ye Y, Guo S, Zhou F, Han H, Liu Z, Qin Z. Clinical analysis of pediatric testicular benign tumors. Nan Fang Yi Ke Da Xue Xue Bao. 2014;34(9):1384–5. PubMed
Rushton HG, Belman AB, Sesterhenn I, Patterson K, Mostofi FK. Testicular sparing surgery for prepubertal teratoma of the testis: a clinical and pathological study. J Urol. 1990;144(3):726–30. PubMed
Borghesi M, Brunocilla E, Schiavina R, Gentile G, Dababneh H, Della Mora L, Del Prete C, Franceschelli A, Colombo F, Martorana G. Role of testis sparing surgery in the conservative management of small testicular masses: oncological and functional perspectives. Actas Urol Esp. 2015;39(1):57–62. CrossRefPubMed
Ferretti L, Sargos P, Gross-Goupil M, Izard V, Wallerand H, Huyghe E, Rigot JM, Durand X, Benoit G, Ferriere JM, et al. Testicular-sparing surgery for bilateral or monorchide testicular tumours: a multicenter study of long-term oncological and functional results. BJU Int. 2014;114(6):860–4. CrossRefPubMed
- Trends of testis-sparing surgery for pediatric testicular tumors in South China
- BioMed Central
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