Testicular tumours in prepubertal children: About eight cases.
Identifieur interne : 000207 ( Main/Exploration ); précédent : 000206; suivant : 000208Testicular tumours in prepubertal children: About eight cases.
Auteurs : Rachid Khemakhem [Tunisie] ; Yosra Ben Ahmed ; Said Jlidi ; Faouzi Nouira ; Faten Fdhila ; Awatef Charieg ; Sofiene Ghorbel ; Sihem Barsaoui ; Béji ChaouachiSource :
- African journal of paediatric surgery : AJPS [ 0974-5998 ]
Descripteurs français
- KwdFr :
- Diagnostic différentiel (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Humains (MeSH), Mâle (MeSH), Nourrisson (MeSH), Orchidectomie (méthodes), Résultat thérapeutique (MeSH), Traitement médicamenteux adjuvant (MeSH), Tumeur du sac vitellin (diagnostic), Tumeur du sac vitellin (thérapie), Tumeurs du testicule (diagnostic), Tumeurs du testicule (thérapie), Tératome (diagnostic), Tératome (thérapie), Études rétrospectives (MeSH).
- MESH :
- diagnostic : Tumeur du sac vitellin, Tumeurs du testicule, Tératome.
- méthodes : Orchidectomie.
- thérapie : Tumeur du sac vitellin, Tumeurs du testicule, Tératome.
- Diagnostic différentiel, Enfant, Enfant d'âge préscolaire, Humains, Mâle, Nourrisson, Résultat thérapeutique, Traitement médicamenteux adjuvant, Études rétrospectives.
English descriptors
- KwdEn :
- Chemotherapy, Adjuvant (MeSH), Child (MeSH), Child, Preschool (MeSH), Diagnosis, Differential (MeSH), Endodermal Sinus Tumor (diagnosis), Endodermal Sinus Tumor (therapy), Humans (MeSH), Infant (MeSH), Male (MeSH), Orchiectomy (methods), Retrospective Studies (MeSH), Teratoma (diagnosis), Teratoma (therapy), Testicular Neoplasms (diagnosis), Testicular Neoplasms (therapy), Treatment Outcome (MeSH).
- MESH :
- diagnosis : Endodermal Sinus Tumor, Teratoma, Testicular Neoplasms.
- methods : Orchiectomy.
- therapy : Endodermal Sinus Tumor, Teratoma, Testicular Neoplasms.
- Chemotherapy, Adjuvant, Child, Child, Preschool, Diagnosis, Differential, Humans, Infant, Male, Retrospective Studies, Treatment Outcome.
Abstract
BACKGROUND
To analyze the spectrum of testicular tumors in prepubertal children and the therapeutic resultants in an unselected population.
MATERIALS AND METHODS
Our hospital database was analyzed for testicular tumors from January 1995 to December 2010 concerning clinical presentation, treatment and therapeutic results.
RESULTS
Eight patients were operated on because of testicular tumors. In six cases (75%) the tumor was benign: benign teratoma (four cases), epidermoid cyst (one case) and immature teratoma (one case). Two patients (25%) had a malignant tumour: yolk-sac tumour (two cases). All this children underwent surgery. Radical inguinal orchidectomy was performed in six cases and conservative surgery was performed in two cases. One patient has received adjuvant chemotherapy. Follow-up was uneventfully three years after primary surgery.
CONCLUSION
In prepubertal children, most testicular tumours are benign. If tumour markers were negative testis-preserving surgery can be proposed, complete excision of the tumour should be ascertained. In the case of testicular teratoma, the possibility of contralateral tumour should be considered in the follow-up.
DOI: 10.4103/0189-6725.115048
PubMed: 23860072
Affiliations:
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Le document en format XML
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<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatric Surgery B, Children's Hospital of Tunis, Faculty of Medecine of Tunis, University of Tunis El Manar, Tunisia. kakoum_rochdi@yahoo.fr</nlm:affiliation>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chemotherapy, Adjuvant (MeSH)</term>
<term>Child (MeSH)</term>
<term>Child, Preschool (MeSH)</term>
<term>Diagnosis, Differential (MeSH)</term>
<term>Endodermal Sinus Tumor (diagnosis)</term>
<term>Endodermal Sinus Tumor (therapy)</term>
<term>Humans (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Male (MeSH)</term>
<term>Orchiectomy (methods)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Teratoma (diagnosis)</term>
<term>Teratoma (therapy)</term>
<term>Testicular Neoplasms (diagnosis)</term>
<term>Testicular Neoplasms (therapy)</term>
<term>Treatment Outcome (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Diagnostic différentiel (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Nourrisson (MeSH)</term>
<term>Orchidectomie (méthodes)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Traitement médicamenteux adjuvant (MeSH)</term>
<term>Tumeur du sac vitellin (diagnostic)</term>
<term>Tumeur du sac vitellin (thérapie)</term>
<term>Tumeurs du testicule (diagnostic)</term>
<term>Tumeurs du testicule (thérapie)</term>
<term>Tératome (diagnostic)</term>
<term>Tératome (thérapie)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Endodermal Sinus Tumor</term>
<term>Teratoma</term>
<term>Testicular Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Tumeur du sac vitellin</term>
<term>Tumeurs du testicule</term>
<term>Tératome</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Orchiectomy</term>
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<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Orchidectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Endodermal Sinus Tumor</term>
<term>Teratoma</term>
<term>Testicular Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Tumeur du sac vitellin</term>
<term>Tumeurs du testicule</term>
<term>Tératome</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Chemotherapy, Adjuvant</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Diagnosis, Differential</term>
<term>Humans</term>
<term>Infant</term>
<term>Male</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Diagnostic différentiel</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Humains</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Résultat thérapeutique</term>
<term>Traitement médicamenteux adjuvant</term>
<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>To analyze the spectrum of testicular tumors in prepubertal children and the therapeutic resultants in an unselected population.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b>
</p>
<p>Our hospital database was analyzed for testicular tumors from January 1995 to December 2010 concerning clinical presentation, treatment and therapeutic results.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Eight patients were operated on because of testicular tumors. In six cases (75%) the tumor was benign: benign teratoma (four cases), epidermoid cyst (one case) and immature teratoma (one case). Two patients (25%) had a malignant tumour: yolk-sac tumour (two cases). All this children underwent surgery. Radical inguinal orchidectomy was performed in six cases and conservative surgery was performed in two cases. One patient has received adjuvant chemotherapy. Follow-up was uneventfully three years after primary surgery.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>In prepubertal children, most testicular tumours are benign. If tumour markers were negative testis-preserving surgery can be proposed, complete excision of the tumour should be ascertained. In the case of testicular teratoma, the possibility of contralateral tumour should be considered in the follow-up.</p>
</div>
</front>
</TEI>
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<tree><noCountry><name sortKey="Ahmed, Yosra Ben" sort="Ahmed, Yosra Ben" uniqKey="Ahmed Y" first="Yosra Ben" last="Ahmed">Yosra Ben Ahmed</name>
<name sortKey="Barsaoui, Sihem" sort="Barsaoui, Sihem" uniqKey="Barsaoui S" first="Sihem" last="Barsaoui">Sihem Barsaoui</name>
<name sortKey="Chaouachi, Beji" sort="Chaouachi, Beji" uniqKey="Chaouachi B" first="Béji" last="Chaouachi">Béji Chaouachi</name>
<name sortKey="Charieg, Awatef" sort="Charieg, Awatef" uniqKey="Charieg A" first="Awatef" last="Charieg">Awatef Charieg</name>
<name sortKey="Fdhila, Faten" sort="Fdhila, Faten" uniqKey="Fdhila F" first="Faten" last="Fdhila">Faten Fdhila</name>
<name sortKey="Ghorbel, Sofiene" sort="Ghorbel, Sofiene" uniqKey="Ghorbel S" first="Sofiene" last="Ghorbel">Sofiene Ghorbel</name>
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<name sortKey="Nouira, Faouzi" sort="Nouira, Faouzi" uniqKey="Nouira F" first="Faouzi" last="Nouira">Faouzi Nouira</name>
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<country name="Tunisie"><noRegion><name sortKey="Khemakhem, Rachid" sort="Khemakhem, Rachid" uniqKey="Khemakhem R" first="Rachid" last="Khemakhem">Rachid Khemakhem</name>
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