Testicular relapse of acute lymphoblastic leukemia

Contemporary chemotherapy regimens have led to improved survival and decreased incidence of testicular relapse for pediatric patients with acute lymphoblastic leukemia (ALL). Local therapies to the testes, such as radiotherapy and orchiectomy, are often not necessary given that high-dose chemotherap...

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Main Authors: Alexandra Carolan, Shane Batie, Dinesh Rakheja, Micah Jacobs, Craig Peters, Irina Stanasel
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442023001353
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author Alexandra Carolan
Shane Batie
Dinesh Rakheja
Micah Jacobs
Craig Peters
Irina Stanasel
author_facet Alexandra Carolan
Shane Batie
Dinesh Rakheja
Micah Jacobs
Craig Peters
Irina Stanasel
author_sort Alexandra Carolan
collection DOAJ
description Contemporary chemotherapy regimens have led to improved survival and decreased incidence of testicular relapse for pediatric patients with acute lymphoblastic leukemia (ALL). Local therapies to the testes, such as radiotherapy and orchiectomy, are often not necessary given that high-dose chemotherapy agents can overcome the relative blood-testis barrier. However, urologists should be aware of clinical scenarios involving ALL which still warrant testicular biopsy to guide management. Here, we present a case of a 12-year-old boy with high-risk pre-B cell ALL presenting with a testicular relapse and a clinical presentation overlapping with non-infectious epididymo-orchitis.
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spelling doaj.art-188066f294a943e994644e14c60952c82023-09-09T04:55:20ZengElsevierUrology Case Reports2214-44202023-09-0150102449Testicular relapse of acute lymphoblastic leukemiaAlexandra Carolan0Shane Batie1Dinesh Rakheja2Micah Jacobs3Craig Peters4Irina Stanasel5University of Texas Southwestern Medical Center, Children's Health Texas, USAUniversity of Texas Southwestern Medical Center, Children's Health Texas, USAUniversity of Texas Southwestern Medical Center, Children's Health Texas, USAUniversity of Texas Southwestern Medical Center, Children's Health Texas, USAUniversity of Texas Southwestern Medical Center, Children's Health Texas, USACorresponding author. Children's Health Texas, 2350 N Stemmons Freeway, Ste 4300, Dallas, TX, 75207, USA.; University of Texas Southwestern Medical Center, Children's Health Texas, USAContemporary chemotherapy regimens have led to improved survival and decreased incidence of testicular relapse for pediatric patients with acute lymphoblastic leukemia (ALL). Local therapies to the testes, such as radiotherapy and orchiectomy, are often not necessary given that high-dose chemotherapy agents can overcome the relative blood-testis barrier. However, urologists should be aware of clinical scenarios involving ALL which still warrant testicular biopsy to guide management. Here, we present a case of a 12-year-old boy with high-risk pre-B cell ALL presenting with a testicular relapse and a clinical presentation overlapping with non-infectious epididymo-orchitis.http://www.sciencedirect.com/science/article/pii/S2214442023001353LeukemiaTesticular relapseTesticular biopsyPediatrics
spellingShingle Alexandra Carolan
Shane Batie
Dinesh Rakheja
Micah Jacobs
Craig Peters
Irina Stanasel
Testicular relapse of acute lymphoblastic leukemia
Urology Case Reports
Leukemia
Testicular relapse
Testicular biopsy
Pediatrics
title Testicular relapse of acute lymphoblastic leukemia
title_full Testicular relapse of acute lymphoblastic leukemia
title_fullStr Testicular relapse of acute lymphoblastic leukemia
title_full_unstemmed Testicular relapse of acute lymphoblastic leukemia
title_short Testicular relapse of acute lymphoblastic leukemia
title_sort testicular relapse of acute lymphoblastic leukemia
topic Leukemia
Testicular relapse
Testicular biopsy
Pediatrics
url http://www.sciencedirect.com/science/article/pii/S2214442023001353
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