Diagnostic-therapeutic pathway for small lesions of the testis

• Main Authors: Giulia Sbrollini, Daniele Mazzaferro, Asim Ettamimi, Rodolfo Montironi, Marco Cordari, Guevar Maselli, Giacomo Tucci, Gaetano Donatelli, Francesco Pellegrinelli, Alessandro Conti, Andrea Benedetto Galosi
• Format: Article
• Language: English
• Published: PAGEPress Publications 2014-12-01
• Series: Archivio Italiano di Urologia e Andrologia
• Subjects: Small masses; Testis neoplasms; Partial orchiectomy; Ultrasound; Pathology
• Online Access: http://www.pagepressjournals.org/index.php/aiua/article/view/5063

Objective of our study was to define a diagnostic-therapeutic pathway for proper treatment of not-palpable testicular masses, that may be benign in 38% of cases. Since the intraoperative diagnosis is difficult to reach in particular in small lesion (< 8 mm) and the risk of tissue loss in frozen section analysis occurs frequently, we propose a diagnostic flow chart for the best management of small testis lesions. This proposed protocol has to be shown in details to physicians and patients, who must understand the clinical implications and the risk to undergo a second radical surgery.