Nonseminomatous Germ Cell Tumors of Testis in Children
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 10
Abstract
Testicular tumors are rare in children and different from those of adults concerning both histopathological features and Clinique behavior. We report our experience to sensitize practitioners about the importance of good care diagnosis and treatment of these tumors. A retrospective study between January 2000 and December 2010 of 13 cases of testicular nonseminomatous germ cell tumors. We report their clinical, histopathological, and therapeutic characteristics with their evolution with a litterature review. A total of 37 testicular tumors were identified of which thirteen cases were nonseminomatous germ cell tumors. The average age at diagnosis was 25 months. Among these tumors, nine (69.2%) were yolk sac tumors, two (15.4%) were teratoma and 2 others embryonic carcinoma. The most common clinical presentation was that of a painless scrotal mass or swelling. Ten tumors were treated by inguinal orchiectomy and one by transscrotal orchiectomy. Eleven patients underwent cisplatin based chemotherapy. Three discontinued treatment and nine others were in remission. Up till now, three patients are still being followed with a drop of 5 to 10 years. Testicular tumors in children, although rare, they deserve special attention both on the diagnostic level, and the therapeutic one. Any solid scrotal mass should be considered malignant until proven otherwise and requires inguinal exploration. Testicular sparing surgery should be performed in cases of benign lesion.
Authors and Affiliations
Mounir Kisra, Driss Hanine, Achraf El Bakkaly, Aziz Zaoui, Rachid Oulahyane
Keywords
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