Skip to main content
SpringerLink
Log in

Benign Testicular Tumors in Children: Testicular Preserving Surgery

  • Chapter
  • First Online:
Pediatric Cancer, Volume 3

Part of the book series: Pediatric Cancer ((PECA,volume 3))

Abstract

Testicular tumors in children are rare and represent only 1% of all pediatric solid tumors. The incidence, histologic distribution and prognosis of testicular tumors in children differ greatly from those seen in the adult population. In comparison to tumors in adults, childhood testicular tumors are more likely to be benign, and those that are malignant are associated with a much lower incidence of metastases. As a result, a less aggressive approach to the management of these tumors in children has evolved. Concerns regarding surgical morbidity and preservation of testicular function have warranted a distinct approach to the treatment of prepubertal testicular tumors. Benign testicular tumors can be managed safely and effectively with testis-sparing excision. Localized malignant tumors can be managed with excision alone.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Altadonna V, Snyde HM, Rosenberg HK (1988) Simple cysts of the testis in children: preoperative diagnosis by ultrasound and excision with testicular preservation. J Urol 140:1505–1507

    CAS  PubMed  Google Scholar 

  • Brosman SA (1985) Tumors: male genital tract. In: Kelalis PP, King LR, Belman AB (eds) Clinical pediatric urology, 2nd edn. WB Saunders, Philadelphia, pp 1202–1219

    Google Scholar 

  • Coppes MJ, Rackley R, Kay R (1994) Primary testicular and paratesticular tumors of childhood. Med Pediatr Oncol 22:329–340

    Article  CAS  PubMed  Google Scholar 

  • Cortez JC, Kaplan GW (1993) Gonadal stromal tumors, gonadoblastomas, epidermoid cysts, and secondary tumors of the testis in children. Urol Clin North Am 20:15–26

    CAS  PubMed  Google Scholar 

  • Einhorn LH, Williams SD (1980) Chemotherapy of disseminated testicular cancer. Cancer 46:1339–1344

    Article  CAS  PubMed  Google Scholar 

  • Flamant F, Baranzelli MD, Kalifa C, Lemerle J (1990) Treatment of malignant germ cell tumors in children: experience of the Institut Gustave Roussy and the French Society of Pediatric Oncology. Crit Rev Oncol Hematol 10:99–110

    Article  CAS  PubMed  Google Scholar 

  • Grady R, Ross JH, Kay R (1997) Epidemiological features of testicular teratoma in a prepubertal population. J Urol 158(3 pt 2):1191–1192

    CAS  PubMed  Google Scholar 

  • Grunert RT, Van Every MJ, Uehling DT (1992) Bilateral epidermoid cysts of the testicle. J Urol 147:1599–1601

    CAS  PubMed  Google Scholar 

  • Haas RJ, Schmidt P (1995) Testicular germ cell tumors in childhood and adolescence. World J Urol 13:203–208

    Article  CAS  PubMed  Google Scholar 

  • Kaufman E, Akiya F, Foucar E, Grambort F, Cartwright KC (1990) Virilization due to Leydig cell tumor diagnosis by magnetic resonance imaging. Clin Pediatr (Phila) 29:414–417

    Article  CAS  Google Scholar 

  • Kay R (1993) Prepubertal testicular tumor registry. J Urol 150:671–674

    CAS  PubMed  Google Scholar 

  • Kolon TF, Hochman HI (1997) Malignant Sertoli cell tumor in a prepubescent boy. J Urol 158:608–609

    Article  CAS  PubMed  Google Scholar 

  • Langer JE, Ramchandani P, Siegelman ES, Banner MP (1999) Epidermoid cysts of the testicle: sonographic and MR imaging features. Am J Roentgenol 173:1295–1299

    Article  CAS  Google Scholar 

  • Levy D, Kay R, Elder J (1994) Neonatal testis tumors: a review of the prepubertal testis tumor registry. J Urol 151:715–717

    CAS  PubMed  Google Scholar 

  • Li FP, Fraumeni JF Jr (1972) Testicular cancers in children. Epidemiologic characteristics. J Natl Cancer Inst 48:1575–1581

    CAS  PubMed  Google Scholar 

  • Luker GD, Siegel MJ (1994) Pediatric testicular tumors: evaluation with gray-scale and color Doppler US. Radiology 191:561–564

    CAS  PubMed  Google Scholar 

  • Metcalfe PD, Farivar-Mohseni J, Farhat W, Mclorie G, Khoury A, Bägli DJ (2003) Pediatric testicular tumors: contemporary incidence and efficacy of testicular preserving surgery. J Urol 170:2412–2416

    Article  PubMed  Google Scholar 

  • Mirilas P, De Almeida M (1999) Absence of antisperm surface antibodies in prepubertal boys with cryptorchidism and other anomalies of the inguinoscrotal region before and after surgery. J Urol 162:177–181

    Article  CAS  PubMed  Google Scholar 

  • Mostofi FK, Sesterhenn IA, Davis CJ Jr (1987) Immunopathology of germ cell tumors of the testis. Semin Diagn Pathol 4:320

    CAS  PubMed  Google Scholar 

  • Nerli RB, Ajay G, Shivangouda P, Pravin P, Reddy M, Pujar VC (2010) Prepubertal testicular tumors: our 10 year experience. Indian J Cancer 47:292–295

    Article  CAS  PubMed  Google Scholar 

  • Nonomura K, Koyama T, Kakizaki H, Murakumo M, Shinohara N, Koyanagi T (2001) Testicular sparing surgery for the prepubertal testicular tumor. Eur Urol 40:699–704

    Article  CAS  PubMed  Google Scholar 

  • Pizzocaro G, Zanoni F, Salvioni R, Milani A, Piva L, Pilotti S (1987) Difficulties of a surveillance study omitting retroperitoneal lymphadenectomy in clinical stage I nonseminomatous germ cell tumors of the testis. J Urol 138:1393–1396

    CAS  PubMed  Google Scholar 

  • Pohl HG, Shukla AR, Metcalf PD, Cilento BG, Retik AB, Bagli DJ, Huff DS, Rushton HG (2004) Prepubertal testis tumors: actual prevalence rate of histological types. J Urol 172:2370–2372

    Article  PubMed  Google Scholar 

  • Ross JH, Kay R (2004) Prepubertal testis tumor. Rev Urol 6:11–18

    PubMed Central  PubMed  Google Scholar 

  • Ross JH, Rybicki L, Kay R (2002) Clinical behavior and a contemporary management algorithm for pre pubertal testis tumors: a summary of the prepubertal testis tumor registry. J Urol 164:1678–1679

    Google Scholar 

  • Rushton G, Belman BA (1993) Testis sparing surgery for benign lesions of the prepubertal testis. Urol Clin North Am 20:27–37

    CAS  PubMed  Google Scholar 

  • Rushton G, Belman AB, Sesterhenn I, Patterson K, Mostofi FK (1990) Testicular sparing surgery for prepubertal teratoma of the testis: a clinical and pathological study. J Urol 144:726–730

    CAS  PubMed  Google Scholar 

  • Shukla AR, Woodard C, Carr MC, Huff DS, Canning DA, Zderic SA, Kolon TF, Snyder HM 3rd (2004) Experience with testis sparing surgery for testicular teratoma. J Urol 171:161–163

    Article  PubMed  Google Scholar 

  • Thomas JC, Ross JH, Kay R (2001) Stromal testis tumors in children: a report from the prepubertal testis tumor registry. J Urol 166:2338–2340

    Article  CAS  PubMed  Google Scholar 

  • Valla JS (2001) Testis sparing surgery for benign testicular tumors in children. J Urol 165:2280–2283

    Article  Google Scholar 

  • Weiner ES, Lawrence W, Hays D, Lobe TE, Andrassy R, Donaldson S, Crist W, Newton W, Johnson J, Gehan E (1994) Retroperitoneal node biopsy in childhood paratesticular rhabdomyosarcoma. J Pediatr Surg 29:171–178

    Article  Google Scholar 

  • Weissbach L, Altwein JE, Stiens R (1984) Germinal testicular tumors in childhood. Eur Urol 10:73–85

    CAS  PubMed  Google Scholar 

  • Young RH, Lawrence WD, Scully RE (1985) Juvenile granulosa cell tumor—another neoplasm associated with abnormal chromosomes and ambiguous genitalia, a report of three cases. Am J Surg Pathol 9:737–743

    Article  CAS  PubMed  Google Scholar 

  • Young JL Jr, Ries LG, Silverberg E, Horm JW, Miller RW (1986) Cancer incidence, survival and mortality for children younger than 15 years. Cancer 58:598–602

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pediatric Urology, KLE University’s J N Medical College, KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital and MRC, Belgaum, 590010, India

    Rajendra Nerli & Murigendra Hiremath

  2. Department of Urologic Surgery, Pediatric Division, University of Minnesota, 420 Delaware Street S. E., MMC 394, Minneapolis, MN, 590010, USA

    Aseem Shukla

Authors
  1. Rajendra Nerli
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Aseem Shukla
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Murigendra Hiremath
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Rajendra Nerli .

Editor information

Editors and Affiliations

  1. Biology, Kean University, Union, New Jersey, USA

    M.A. Hayat

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Nerli, R., Shukla, A., Hiremath, M. (2012). Benign Testicular Tumors in Children: Testicular Preserving Surgery. In: Hayat, M. (eds) Pediatric Cancer, Volume 3. Pediatric Cancer, vol 3. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-4528-5_30

Download citation

Publish with us

Policies and ethics

Search

Navigation