Testicular tumor arising from an intra-abdominal undescended testis in a 1-year-old child: a case report and literature review
ObjectivesTesticular tumors in the intra-abdominal undescended testis are rare in children, and their management remains challenging. The aim was to present a case report and review of the literature about diagnosis and treatment of testicular tumors arising from undescended intra-abdominal testis i...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2023.1142157/full |
| _version_ | 1797825566290739200 |
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| author | Qiongzhang Xia Tongshuai Kuang Xiaokun Lin Xiaokun Lin Hua Zhang |
| author_facet | Qiongzhang Xia Tongshuai Kuang Xiaokun Lin Xiaokun Lin Hua Zhang |
| author_sort | Qiongzhang Xia |
| collection | DOAJ |
| description | ObjectivesTesticular tumors in the intra-abdominal undescended testis are rare in children, and their management remains challenging. The aim was to present a case report and review of the literature about diagnosis and treatment of testicular tumors arising from undescended intra-abdominal testis in children.MethodsIn this study, we retrospectively analyzed the clinical records of a 1-year-old male patient admitted to pediatric surgery in March 2022 with a testicular tumor originating in the intra-abdominal undescended testis. Furthermore, medical literature published in English during the last three decades was systematically searched through the databases of Medline, PubMed, and Google Scholar.ResultsThe patient underwent laparoscopic orchiopexy and tumor excision. The operation was uneventful, and the patient recovered well without complications. An 8-month follow-up showed no recurrence of the teratoma after postoperative pathology. The literature search resulted in the retrieval of 16 non-duplicate articles, and 16 patients were included in this review. The cases included six cases of left cryptorchidism and 10 cases of right cryptorchidism, with an average age of 15.3 months. The largest transverse diameter of the tumors ranged from 1.8 to 12.5 cm, with an average tumor length of 6.7 cm. All patients underwent surgical treatment, including three cases of laparoscopic orchiectomy, a sole case of a conversion of inguinal incision to laparotomy and orchiectomy, and 12 cases of laparotomy and orchiectomy. Postoperative pathology revealed 12 cases of mature teratoma, two cases of immature teratoma, one case of yolk sac tumor, and a single case of embryonic carcinoma combined with yolk sac tumor. 11 patients were followed up, and one of them recurred.ConclusionAbdominal ultrasound (US) or abdominal computer tomography (CT) should be performed in cases of undescended testis suspected to have testicular tumors on clinical findings. The most common type of intra-abdominal testicular tumor is mature teratomas. Early diagnosis and prompt surgical intervention resulted in an excellent outcome. |
| first_indexed | 2024-03-13T10:55:49Z |
| format | Article |
| id | doaj.art-ec7d56f945814800b179b68f34a09b4a |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-03-13T10:55:49Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-ec7d56f945814800b179b68f34a09b4a2023-05-17T04:47:41ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-05-011110.3389/fped.2023.11421571142157Testicular tumor arising from an intra-abdominal undescended testis in a 1-year-old child: a case report and literature reviewQiongzhang Xia0Tongshuai Kuang1Xiaokun Lin2Xiaokun Lin3Hua Zhang4Department of Pediatric Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Pediatric Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Pediatric Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, ChinaWenzhou Key Laboratory of Children Genitourinary Diseases, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Pediatric Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, ChinaObjectivesTesticular tumors in the intra-abdominal undescended testis are rare in children, and their management remains challenging. The aim was to present a case report and review of the literature about diagnosis and treatment of testicular tumors arising from undescended intra-abdominal testis in children.MethodsIn this study, we retrospectively analyzed the clinical records of a 1-year-old male patient admitted to pediatric surgery in March 2022 with a testicular tumor originating in the intra-abdominal undescended testis. Furthermore, medical literature published in English during the last three decades was systematically searched through the databases of Medline, PubMed, and Google Scholar.ResultsThe patient underwent laparoscopic orchiopexy and tumor excision. The operation was uneventful, and the patient recovered well without complications. An 8-month follow-up showed no recurrence of the teratoma after postoperative pathology. The literature search resulted in the retrieval of 16 non-duplicate articles, and 16 patients were included in this review. The cases included six cases of left cryptorchidism and 10 cases of right cryptorchidism, with an average age of 15.3 months. The largest transverse diameter of the tumors ranged from 1.8 to 12.5 cm, with an average tumor length of 6.7 cm. All patients underwent surgical treatment, including three cases of laparoscopic orchiectomy, a sole case of a conversion of inguinal incision to laparotomy and orchiectomy, and 12 cases of laparotomy and orchiectomy. Postoperative pathology revealed 12 cases of mature teratoma, two cases of immature teratoma, one case of yolk sac tumor, and a single case of embryonic carcinoma combined with yolk sac tumor. 11 patients were followed up, and one of them recurred.ConclusionAbdominal ultrasound (US) or abdominal computer tomography (CT) should be performed in cases of undescended testis suspected to have testicular tumors on clinical findings. The most common type of intra-abdominal testicular tumor is mature teratomas. Early diagnosis and prompt surgical intervention resulted in an excellent outcome.https://www.frontiersin.org/articles/10.3389/fped.2023.1142157/fulltesticular tumorundescended testiscryptorchidismteratomaorchiopexy |
| spellingShingle | Qiongzhang Xia Tongshuai Kuang Xiaokun Lin Xiaokun Lin Hua Zhang Testicular tumor arising from an intra-abdominal undescended testis in a 1-year-old child: a case report and literature review Frontiers in Pediatrics testicular tumor undescended testis cryptorchidism teratoma orchiopexy |
| title | Testicular tumor arising from an intra-abdominal undescended testis in a 1-year-old child: a case report and literature review |
| title_full | Testicular tumor arising from an intra-abdominal undescended testis in a 1-year-old child: a case report and literature review |
| title_fullStr | Testicular tumor arising from an intra-abdominal undescended testis in a 1-year-old child: a case report and literature review |
| title_full_unstemmed | Testicular tumor arising from an intra-abdominal undescended testis in a 1-year-old child: a case report and literature review |
| title_short | Testicular tumor arising from an intra-abdominal undescended testis in a 1-year-old child: a case report and literature review |
| title_sort | testicular tumor arising from an intra abdominal undescended testis in a 1 year old child a case report and literature review |
| topic | testicular tumor undescended testis cryptorchidism teratoma orchiopexy |
| url | https://www.frontiersin.org/articles/10.3389/fped.2023.1142157/full |
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