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Testicular Tumors

Frederick Rescorla, Reto Baertschiger, Florin Filip
Testicular Tumors is a topic covered in the Pediatric Surgery NaT.

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Testicular tumors are divided by age into prepubertal, usually less than five years of age, and pubertal. Most prepubertal testicular masses are benign and thus careful consideration of testicular sparing resection is important [1]. Most malignant prepubertal tumors are stage I pure yolk sac tumors managed with orchiectomy and observation of tumor marker decline. Most pubertal masses are malignant mixed histology and initial orchiectomy is indicated. Postoperatively, stage I tumors are managed with observation and higher stages with surgery and chemotherapy. Four year event free survival (EFS) is 74% with younger age, pure yolk sac and lack of lymphovascular invasion associated with improved EFS. Overall survival is 100% and reflective of the efficacy of chemotherapy [2]. Survival for stage II patients is also 100% and stages III and IV around 96%. Surgeons play a critical role in appropriate staging, conducting an appropriate orchiectomy and, less commonly, surgery in the retroperitoneum.

see also Paratesticular Rhabdomyosarcomaand Orchiectomy for Tumor

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Last updated: April 28, 2017


, , et al. "Testicular Tumors." Pediatric Surgery NaT, American Pediatric Surgical Association, 2017. APSA Webapp, www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829482/all/Testicular_Tumors.
, Baertschiger R, F. Testicular Tumors. In: Waldhausen J, Powell D, Hirschl R, eds. Pediatric Surgery NaT. American Pediatric Surgical Association; 2017. https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829482/all/Testicular_Tumors. Accessed June 25, 2019.
, ., Baertschiger, R., & , F. (2017). Testicular Tumors. In Waldhausen, J., Powell, D., & Hirschl, R. (Eds.), Pediatric Surgery NaT. Available from https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829482/all/Testicular_Tumors
, Baertschiger R, F. Testicular Tumors [Internet]. In: Waldhausen J, Powell D, Hirschl R, editors. Pediatric Surgery NaT. American Pediatric Surgical Association; 2017. [cited 2019 June 25]. Available from: https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829482/all/Testicular_Tumors.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Testicular Tumors ID - 829482 A1 - ,, AU - Baertschiger,Reto, AU - ,Florin Filip, ED - Waldhausen,John, ED - Powell,David, ED - Hirschl,Ron, Y1 - 2017/04/28/ BT - Pediatric Surgery NaT UR - https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829482/all/Testicular_Tumors PB - American Pediatric Surgical Association DB - APSA Webapp DP - Unbound Medicine ER -