Sex Cord-Stromal Tumors of Testis: A Clinicopathologic and Follow-Up Study of 15 Cases in a High-Volume Institute of China

ObjectivesTo report the first series of testicular sex cord-stromal tumors (TSCSTs) with detailed clinicopathologic findings and long-term follow-up in the Chinese population.Patients and MethodsFrom 2008 to 2018, 15 patients with TSCST were included in our study. The tumors were analyzed for epidem...

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Main Authors: Yin Huang, Bo Chen, Dehong Cao, Zeyu Chen, Jin Li, Jianbing Guo, Qiang Dong, Qiang Wei, Liangren Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.816012/full
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author Yin Huang
Yin Huang
Bo Chen
Dehong Cao
Zeyu Chen
Jin Li
Jianbing Guo
Qiang Dong
Qiang Wei
Liangren Liu
author_facet Yin Huang
Yin Huang
Bo Chen
Dehong Cao
Zeyu Chen
Jin Li
Jianbing Guo
Qiang Dong
Qiang Wei
Liangren Liu
author_sort Yin Huang
collection DOAJ
description ObjectivesTo report the first series of testicular sex cord-stromal tumors (TSCSTs) with detailed clinicopathologic findings and long-term follow-up in the Chinese population.Patients and MethodsFrom 2008 to 2018, 15 patients with TSCST were included in our study. The tumors were analyzed for epidemiological parameters, clinical characteristics, tumor markers, therapy, and follow-up data.ResultsThe median age of the patients was 28 years (range, 13–80 years). Para-aortic lymph node metastases were detected in 2 patients after radiological evaluation. Orchiectomy was performed in all patients, and the median diameter of the tumor was 1.5 cm (range, 0.5–5.0 cm). Nine Leydig cell tumors (LCTs), 5 Sertoli cell tumors (SCTs), and 1 unclassified type were confirmed after pathologic evaluation. Thirteen patients (86.7%) were categorized as stage I, and 2 patients (13.3%) were categorized as stage II. The median clinical follow-up was 39.0 months (range, 5–97 months), which showed 10 alive patients, such as 1 patient with progression at 40 months after orchiectomy. The 3- and 5-year progression-free survivals were 100 and 90.0%, respectively.ConclusionTesticular sex cord-stromal tumor at stages I and II is a rare subtype with benign behavior and a favorable prognosis in the Chinese population. However, lymph node metastases may be the dominant risk factor for patients with TSCST.
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spelling doaj.art-e6e8886b911749f596271b507076d0712022-12-22T03:36:21ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-05-01910.3389/fmed.2022.816012816012Sex Cord-Stromal Tumors of Testis: A Clinicopathologic and Follow-Up Study of 15 Cases in a High-Volume Institute of ChinaYin Huang0Yin Huang1Bo Chen2Dehong Cao3Zeyu Chen4Jin Li5Jianbing Guo6Qiang Dong7Qiang Wei8Liangren Liu9Department of Urology, West China Hospital, Institute of Urology, Sichuan University, Chengdu, ChinaWest China School of Medicine, Sichuan University, Chengdu, ChinaDepartment of Urology, West China Hospital, Institute of Urology, Sichuan University, Chengdu, ChinaDepartment of Urology, West China Hospital, Institute of Urology, Sichuan University, Chengdu, ChinaDepartment of Urology, West China Hospital, Institute of Urology, Sichuan University, Chengdu, ChinaDepartment of Urology, West China Hospital, Institute of Urology, Sichuan University, Chengdu, ChinaDepartment of Urology, West China Hospital, Institute of Urology, Sichuan University, Chengdu, ChinaDepartment of Urology, West China Hospital, Institute of Urology, Sichuan University, Chengdu, ChinaDepartment of Urology, West China Hospital, Institute of Urology, Sichuan University, Chengdu, ChinaDepartment of Urology, West China Hospital, Institute of Urology, Sichuan University, Chengdu, ChinaObjectivesTo report the first series of testicular sex cord-stromal tumors (TSCSTs) with detailed clinicopathologic findings and long-term follow-up in the Chinese population.Patients and MethodsFrom 2008 to 2018, 15 patients with TSCST were included in our study. The tumors were analyzed for epidemiological parameters, clinical characteristics, tumor markers, therapy, and follow-up data.ResultsThe median age of the patients was 28 years (range, 13–80 years). Para-aortic lymph node metastases were detected in 2 patients after radiological evaluation. Orchiectomy was performed in all patients, and the median diameter of the tumor was 1.5 cm (range, 0.5–5.0 cm). Nine Leydig cell tumors (LCTs), 5 Sertoli cell tumors (SCTs), and 1 unclassified type were confirmed after pathologic evaluation. Thirteen patients (86.7%) were categorized as stage I, and 2 patients (13.3%) were categorized as stage II. The median clinical follow-up was 39.0 months (range, 5–97 months), which showed 10 alive patients, such as 1 patient with progression at 40 months after orchiectomy. The 3- and 5-year progression-free survivals were 100 and 90.0%, respectively.ConclusionTesticular sex cord-stromal tumor at stages I and II is a rare subtype with benign behavior and a favorable prognosis in the Chinese population. However, lymph node metastases may be the dominant risk factor for patients with TSCST.https://www.frontiersin.org/articles/10.3389/fmed.2022.816012/fulltestistesticular neoplasmssex cord-stromal tumorsfollow-uporchiectomy
spellingShingle Yin Huang
Yin Huang
Bo Chen
Dehong Cao
Zeyu Chen
Jin Li
Jianbing Guo
Qiang Dong
Qiang Wei
Liangren Liu
Sex Cord-Stromal Tumors of Testis: A Clinicopathologic and Follow-Up Study of 15 Cases in a High-Volume Institute of China
Frontiers in Medicine
testis
testicular neoplasms
sex cord-stromal tumors
follow-up
orchiectomy
title Sex Cord-Stromal Tumors of Testis: A Clinicopathologic and Follow-Up Study of 15 Cases in a High-Volume Institute of China
title_full Sex Cord-Stromal Tumors of Testis: A Clinicopathologic and Follow-Up Study of 15 Cases in a High-Volume Institute of China
title_fullStr Sex Cord-Stromal Tumors of Testis: A Clinicopathologic and Follow-Up Study of 15 Cases in a High-Volume Institute of China
title_full_unstemmed Sex Cord-Stromal Tumors of Testis: A Clinicopathologic and Follow-Up Study of 15 Cases in a High-Volume Institute of China
title_short Sex Cord-Stromal Tumors of Testis: A Clinicopathologic and Follow-Up Study of 15 Cases in a High-Volume Institute of China
title_sort sex cord stromal tumors of testis a clinicopathologic and follow up study of 15 cases in a high volume institute of china
topic testis
testicular neoplasms
sex cord-stromal tumors
follow-up
orchiectomy
url https://www.frontiersin.org/articles/10.3389/fmed.2022.816012/full
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