Prepubertal testicular tumors: Clinical characteristics and indications for testis-sparing surgery in a multicenter retrospective study

被引:0
作者
Hanaki, Shojiro [1 ,6 ]
Katayama, Shuichi [1 ,6 ]
Nakahara, Yasuo [2 ,6 ]
Nakada, Soichi [1 ,6 ]
Hitomi, Kohsuke [2 ,6 ]
Asai, Takeshi [3 ,6 ]
Ishibashi, Shuichi [4 ,6 ]
Kanagawa, Tsutomu [5 ,6 ]
Aoyama, Koji [2 ,6 ]
机构
[1] Kurashiki Cent Hosp, Dept Gen Surg, Div Pediat Surg, 1-1-1 Miwa, Kurashiki 7108602, Japan
[2] Natl Hosp Org, Dept Pediat Surg, Okayama Med Ctr, Okayama, Japan
[3] Natl Hosp Org, Dept Pediat Surg, Shikoku Med Ctr Children & Adults, Zentsuji, Japan
[4] Shimane Univ, Dept Digest & Gen Surg, Div Pediat Surg, Fac Med, Izumo, Japan
[5] Yamaguchi Prefectural Grand Med Ctr, Dept Pediat Surg, Hofu, Japan
[6] Chugoku Shikoku Pediat Surg Partners Org, Hiroshima, Japan
来源
JOURNAL OF PEDIATRIC SURGERY OPEN | 2025年 / 10卷
关键词
Orchiectomy; Testis-sparing surgery; Pediatric testicular tumors; Prepubertal tumors; Pediatric; FROZEN-SECTION EXAMINATION; MANAGEMENT; MASSES; PREVALENCE; GUIDELINES; LESIONS;
D O I
10.1016/j.yjpso.2025.100197
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objectives: We aimed to clarify the characteristics of prepubertal testicular tumors and evaluate the suitability of testis-sparing surgery (TSS) for benign prepubertal testicular tumors, with a focus on clinical outcomes and tumor-specific factors that influence treatment decisions. Methods: A retrospective study was conducted involving 34 patients under 14 years of age who were treated for testicular tumors at five institutions from 2001 to 2021. Clinical parameters were compared between benign and malignant groups, and additional parameters, such as testicular volume, tumor volume, and tumor volume ratio, were analyzed within the benign group. Results: There were 18 cases in the benign group and 16 in the malignant group. The maximal tumor diameter was significantly larger in the malignant group (2.0 cm vs. 3.5 cm, p = 0.006). In the benign group, all cases in the TSS group had a tumor volume ratio < 70 % and a maximal tumor diameter < 2 cm (p = 0.006). No cases of testicular atrophy or recurrence were observed during a median follow-up of 60 months in the benign group. Conclusions: TSS is a feasible option for benign prepubertal testicular tumors with favorable preoperative evaluation results, offering preservation of testicular function without compromising oncological safety. Parameters such as a maximal tumor diameter < 2 cm and a tumor volume ratio < 70 % may help determine the suitability of TSS and support clinical decision-making in pediatric testicular surgery.
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