Abstract:
Objective To explore the postoperative effect, prognosis, and prognostic factors for benign testicular tumors.
Methods Weretrospectively analyzed the clinical data of 35 patients with benign testicular tumors between May 2004 and May 2017 from Sun Yatsen University Cancer Center, and the patients were followed up until October 2017.
Results The mean age of the 35 patients was18.8 (0.4-44.0) years. Among them, 14 patients (40.0%) underwent testis-sparing surgery and 21 (60.0%) underwent radical orchiectomy, and the tumor sizes were 1.8 (0.4-4.0) cm and 2.7 (1.0-8.0) cm, respectively. All patients had been cured without obvious perioperative complications. Postoperative histopathological tumor types included 18 epidermal cysts, 10 mature teratomas, 4 interstitial celltumors, and 3 adenomatoid tumors. Frozen section examination of 10 cases had been operated, and all results were consistent withparaffin pathology. No patient who underwent testis-sparing surgery showed recurrence and/or metastasis during follow-up, and theirsexual function and fertility were well preserved.
Conclusions Testis-sparing surgery is reliable, and the size of the tumor determinesits implementation. An intraoperative rapid frozen section examination should be performed in patients with testicular neoplasms of abenign or variable nature diagnosed before operation. Patients with benign testicular tumors should undergo testis-sparing surgery, whereas others should undergo radical orchiectomy.
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