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Surgical Aspect may be a Predictor Element for the Management of Testicular Tumors in Children

Anthony Kallas Chemaly1*, Ayhan BAKAR1, Fouad Aoun2 and Henri Steyaert1

1Department of Pediatric Urology, Queen Fabiola Children's University Hospital, Université Libre De Bruxelles, Belgium

2Department of Urology, Hôtel-Dieu de France Hospital, Université Saint-Joseph, Liban

Corresponding Author:
Anthony Kallas Chemaly
Department of Pediatric Urology, Queen
Fabiola Children's University Hospital,
Université libre de Bruxelles, Belgium
Tel: +32 (0)2 477.33.11
E-mail: anthony_chemaly@yahoo.com

Received date: 05 June 2016; Accepted date: 07 June 2016; Published date: 10 June 2016

Citation: Chemaly AK, Aoun F, Steyaert H. Surgical Aspect may be a Predictor Element for the Management of Testicular Tumors in Children. Arch Can Res. 2016, 4:2.

 
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Abstract

We report the case of a 2.5 years old boy diagnosed with a painless testicular mass during a clinical exam before circumcision. Testicular ultrasound revealed a vascularized 2 × 2 cm lower pole right hypoechogenic intratesticular solid lesion with calcifications, heterogeneous and distinct from the normal parenchyma. Biological markers were negative (AFP, BHCG, and LDH).

Image Case

We report the case of a 2.5 years old boy diagnosed with a painless testicular mass during a clinical exam before circumcision. Testicular ultrasound revealed a vascularized 2 × 2 cm lower pole right hypoechogenic intratesticular solid lesion with calcifications, heterogeneous and distinct from the normal parenchyma. Biological markers were negative (AFP, BHCG, and LDH). A surgical approach with inguinal incision was made. The mass was well delineated, with no signs of necrosis and without elements of pubertal modifications of the peritumoral testicular tissue. A partial orchiectomy was performed; the surgical aspect correlates with a benign tumor or a mature testicular teratoma in a prepubertal boy (Figure 1). The latter diagnosis was well confirmed in the definitive histopathological analysis [1-3].

Archives-Cancer-Research-delineated-testicular

Figure 1: A well delineated testicular solid mass, with no signs of necrosis and without elements of pubertal modifications of the peritumoral testicular tissue.

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