%0 Journal Article
%T Childhood Testicular Tumors
%A Dilek Demirel
%J -
%D 2018
%X Objective Testicular tumors are rare in childhood In this study, it was aimed evaluate our patients with testicular tumor. Patients and methods Twenty patients had been evaluated between 2006- 2016 in terms of age, presenting symptoms, side, presence of metastasis, surgical intervention, histopathological evaluation results, preoperative AFP and ¦Âhcg levels. Results Twenty patients were between 0.4 and 17.5 years old (median 8.8 years). Preoperative AFP values were high in 9 (45%) patients (5 teratom and 4 endodermal sinus tumor) and ¦ÂHCG values were high in 4 (20%) patients (3 teratom and 1 endodermal sinus tumor). At diagnosis, 5 patients had metastasis ( 2 luns and 3 retroperitoneal lymh nodes). 8 (40%) patients underwent orchiectomy after frozen biopsy, 9 (45%) patients underwent orchiectomy, 1 (5%) patient underwent testis sparing surgery after frozen biopsy. Histopathological examination revealed that there was germ cell tumor in 13 (65%) patients including endodermal sinus tumor in 5 (25%) patients, mixed germ cell tumor in 4 (20%) patients, teratoma in 3 (15%) patients, seminoma in 1 patient), neoplastic infiltration in 4 (20%) patients, paratesticular rhabdomyosarcoma in 2 (10%) patients and malign mesenchymal tumor in 1 (5%) patient. 14 (70%) patients received chemotherapy and 2 (10.5%) patients received radiotherapy. Metastases developed in 3 (15.7%) of the patients. Two (10.5%) patients with neoplastic infiltration were exitus. Conclusion In childhood testicular malignancies, testis sparing surgery should be tried in appropriate patients. Frozen biopsy is helpful in determining surgical method
%K £¿ocukluk £¿a£¿£¿ testis t¨¹m£¿rleri
%K frozen biyopsi
%K testis koruyucu cerrahi
%U http://dergipark.org.tr/gopctd/issue/36594/332439