Evaluation of an Algorithm for Testis-Sparing Surgery in Boys with Testicular Tumors: A Retrospective Cohort Study
Aim: This study reports surgical treatment and its outcome for boys with a testicular tumor, in order to analyze the considerations of testis-sparing surgery (TSS) and investigate whether, in retrospect, treatment was according to a recently developed algorithm. Methods: We retrospectively reviewed...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-01-01
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| Series: | Surgeries |
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| Online Access: | https://www.mdpi.com/2673-4095/2/1/2 |
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| author | Cezanne D. Kooij Caroline C.C. Hulsker Mariëtte E.G. Kranendonk József Zsiros Annemieke S. Littooij Leendert H.J. Looijenga Aart J. Klijn Annelies M.C. Mavinkurve-Groothuis |
| author_facet | Cezanne D. Kooij Caroline C.C. Hulsker Mariëtte E.G. Kranendonk József Zsiros Annemieke S. Littooij Leendert H.J. Looijenga Aart J. Klijn Annelies M.C. Mavinkurve-Groothuis |
| author_sort | Cezanne D. Kooij |
| collection | DOAJ |
| description | Aim: This study reports surgical treatment and its outcome for boys with a testicular tumor, in order to analyze the considerations of testis-sparing surgery (TSS) and investigate whether, in retrospect, treatment was according to a recently developed algorithm. Methods: We retrospectively reviewed boys with testicular tumors who underwent surgical treatment between January 2000 and June 2020 at the Wilhelmina’s Children’s Hospital and the Princess Máxima Center for Pediatric Oncology, The Netherlands. Medical records were searched for clinical characteristics and outcome. Results: We identified 31 boys (median age = 5.5 years) with a testicular tumor, 26 germ cell tumors (GCTs), four sex cord-stromal tumors, and one gonadoblastoma. Seventeen boys (median age = 1.5 years) had malignant and 14 (median age = 3.6 years) had benign tumors. Four boys with benign GCTs were treated with TSS, 25 with radical inguinal orchiectomy (RIO), and 2 with scrotal orchiectomy. No recurrence or testicular atrophy was reported. All boys with benign testicular tumors were treated as suggested by the algorithm, except for one boy treated with RIO. Conclusion: Retrospective analysis of surgical treatment of prepubertal boys with benign testicular tumors showed that TSS appears to be safe, and should be considered based on clinicoradiological data, in line with our algorithm. |
| first_indexed | 2024-03-09T05:11:07Z |
| format | Article |
| id | doaj.art-80ef7f923eb6468e89e74279a55ca702 |
| institution | Directory Open Access Journal |
| issn | 2673-4095 |
| language | English |
| last_indexed | 2024-03-09T05:11:07Z |
| publishDate | 2021-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Surgeries |
| spelling | doaj.art-80ef7f923eb6468e89e74279a55ca7022023-12-03T12:49:13ZengMDPI AGSurgeries2673-40952021-01-012191910.3390/surgeries2010002Evaluation of an Algorithm for Testis-Sparing Surgery in Boys with Testicular Tumors: A Retrospective Cohort StudyCezanne D. Kooij0Caroline C.C. Hulsker1Mariëtte E.G. Kranendonk2József Zsiros3Annemieke S. Littooij4Leendert H.J. Looijenga5Aart J. Klijn6Annelies M.C. Mavinkurve-Groothuis7Princess Máxima Center for Pediatric Oncology, 3584 Utrecht, The NetherlandsPrincess Máxima Center for Pediatric Oncology, 3584 Utrecht, The NetherlandsPrincess Máxima Center for Pediatric Oncology, 3584 Utrecht, The NetherlandsPrincess Máxima Center for Pediatric Oncology, 3584 Utrecht, The NetherlandsPrincess Máxima Center for Pediatric Oncology, 3584 Utrecht, The NetherlandsPrincess Máxima Center for Pediatric Oncology, 3584 Utrecht, The NetherlandsDepartment of Pediatric Urology, University Medical Center Utrecht, 3584 Utrecht, The NetherlandsPrincess Máxima Center for Pediatric Oncology, 3584 Utrecht, The NetherlandsAim: This study reports surgical treatment and its outcome for boys with a testicular tumor, in order to analyze the considerations of testis-sparing surgery (TSS) and investigate whether, in retrospect, treatment was according to a recently developed algorithm. Methods: We retrospectively reviewed boys with testicular tumors who underwent surgical treatment between January 2000 and June 2020 at the Wilhelmina’s Children’s Hospital and the Princess Máxima Center for Pediatric Oncology, The Netherlands. Medical records were searched for clinical characteristics and outcome. Results: We identified 31 boys (median age = 5.5 years) with a testicular tumor, 26 germ cell tumors (GCTs), four sex cord-stromal tumors, and one gonadoblastoma. Seventeen boys (median age = 1.5 years) had malignant and 14 (median age = 3.6 years) had benign tumors. Four boys with benign GCTs were treated with TSS, 25 with radical inguinal orchiectomy (RIO), and 2 with scrotal orchiectomy. No recurrence or testicular atrophy was reported. All boys with benign testicular tumors were treated as suggested by the algorithm, except for one boy treated with RIO. Conclusion: Retrospective analysis of surgical treatment of prepubertal boys with benign testicular tumors showed that TSS appears to be safe, and should be considered based on clinicoradiological data, in line with our algorithm.https://www.mdpi.com/2673-4095/2/1/2testis-sparing surgerytesticular tumorspediatricrecurrencetesticular atrophyalgorithm |
| spellingShingle | Cezanne D. Kooij Caroline C.C. Hulsker Mariëtte E.G. Kranendonk József Zsiros Annemieke S. Littooij Leendert H.J. Looijenga Aart J. Klijn Annelies M.C. Mavinkurve-Groothuis Evaluation of an Algorithm for Testis-Sparing Surgery in Boys with Testicular Tumors: A Retrospective Cohort Study Surgeries testis-sparing surgery testicular tumors pediatric recurrence testicular atrophy algorithm |
| title | Evaluation of an Algorithm for Testis-Sparing Surgery in Boys with Testicular Tumors: A Retrospective Cohort Study |
| title_full | Evaluation of an Algorithm for Testis-Sparing Surgery in Boys with Testicular Tumors: A Retrospective Cohort Study |
| title_fullStr | Evaluation of an Algorithm for Testis-Sparing Surgery in Boys with Testicular Tumors: A Retrospective Cohort Study |
| title_full_unstemmed | Evaluation of an Algorithm for Testis-Sparing Surgery in Boys with Testicular Tumors: A Retrospective Cohort Study |
| title_short | Evaluation of an Algorithm for Testis-Sparing Surgery in Boys with Testicular Tumors: A Retrospective Cohort Study |
| title_sort | evaluation of an algorithm for testis sparing surgery in boys with testicular tumors a retrospective cohort study |
| topic | testis-sparing surgery testicular tumors pediatric recurrence testicular atrophy algorithm |
| url | https://www.mdpi.com/2673-4095/2/1/2 |
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