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Evaluation of an Algorithm for Testis-Sparing Surgery in Boys with Testicular Tumors: A Retrospective Cohort Study

1
Princess Máxima Center for Pediatric Oncology, 3584 Utrecht, The Netherlands
2
Department of Radiology and Nuclear Medicine, University Medical Center Utrecht, 3584 Utrecht, The Netherlands
3
Department of Pediatric Urology, University Medical Center Utrecht, 3584 Utrecht, The Netherlands
*
Author to whom correspondence should be addressed.
These authors contributed equally.
Received: 17 December 2020 / Revised: 5 January 2021 / Accepted: 6 January 2021 / Published: 11 January 2021
Aim: This study reports surgical treatment and its outcome for boys with a testicular tumor, in order to analyze the considerations of testis-sparing surgery (TSS) and investigate whether, in retrospect, treatment was according to a recently developed algorithm. Methods: We retrospectively reviewed boys with testicular tumors who underwent surgical treatment between January 2000 and June 2020 at the Wilhelmina’s Children’s Hospital and the Princess Máxima Center for Pediatric Oncology, The Netherlands. Medical records were searched for clinical characteristics and outcome. Results: We identified 31 boys (median age = 5.5 years) with a testicular tumor, 26 germ cell tumors (GCTs), four sex cord-stromal tumors, and one gonadoblastoma. Seventeen boys (median age = 1.5 years) had malignant and 14 (median age = 3.6 years) had benign tumors. Four boys with benign GCTs were treated with TSS, 25 with radical inguinal orchiectomy (RIO), and 2 with scrotal orchiectomy. No recurrence or testicular atrophy was reported. All boys with benign testicular tumors were treated as suggested by the algorithm, except for one boy treated with RIO. Conclusion: Retrospective analysis of surgical treatment of prepubertal boys with benign testicular tumors showed that TSS appears to be safe, and should be considered based on clinicoradiological data, in line with our algorithm. View Full-Text
Keywords: testis-sparing surgery; testicular tumors; pediatric; recurrence; testicular atrophy; algorithm testis-sparing surgery; testicular tumors; pediatric; recurrence; testicular atrophy; algorithm
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MDPI and ACS Style

Kooij, C.D.; Hulsker, C.C.C.; Kranendonk, M.E.G.; Zsiros, J.; Littooij, A.S.; Looijenga, L.H.J.; Klijn, A.J.; Mavinkurve-Groothuis, A.M.C. Evaluation of an Algorithm for Testis-Sparing Surgery in Boys with Testicular Tumors: A Retrospective Cohort Study. Surgeries 2021, 2, 9-19. https://0-doi-org.brum.beds.ac.uk/10.3390/surgeries2010002

AMA Style

Kooij CD, Hulsker CCC, Kranendonk MEG, Zsiros J, Littooij AS, Looijenga LHJ, Klijn AJ, Mavinkurve-Groothuis AMC. Evaluation of an Algorithm for Testis-Sparing Surgery in Boys with Testicular Tumors: A Retrospective Cohort Study. Surgeries. 2021; 2(1):9-19. https://0-doi-org.brum.beds.ac.uk/10.3390/surgeries2010002

Chicago/Turabian Style

Kooij, Cezanne D., Caroline C.C. Hulsker, Mariëtte E.G. Kranendonk, József Zsiros, Annemieke S. Littooij, Leendert H.J. Looijenga, Aart J. Klijn, and Annelies M.C. Mavinkurve-Groothuis 2021. "Evaluation of an Algorithm for Testis-Sparing Surgery in Boys with Testicular Tumors: A Retrospective Cohort Study" Surgeries 2, no. 1: 9-19. https://0-doi-org.brum.beds.ac.uk/10.3390/surgeries2010002

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