Testicular tumours in prepubertal children: About eight cases

• Main Authors: Rachid Khemakhem, Yosra Ben Ahmed, Said Jlidi, Faouzi Nouira, Faten Fdhila, Awatef Charieg, Sofiene Ghorbel, Sihem Barsaoui, Béji Chaouachi
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2013-01-01
• Series: African Journal of Paediatric Surgery
• Subjects: Children; Testis; Tumour; Teratoma; yolk-sac tumour
• Online Access: http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2013;volume=10;issue=2;spage=176;epage=179;aulast=Khemakhem

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.