CLINICOPATHOLOGICAL PATTERN OF TESTICULAR TUMORS A 3-YEARS EXPERIENCE AT A TERTIARY CARE UROLOGY CENTER

• Published in: Pakistan Armed Forces medical journal Vol. 71; no. 2; pp. 517 - 21
• Main Authors: Murtaza, Badar, Zafar, Muhammad Rafiq, Mirza, Zahoor Iqbal, Akmal, Muhammad, Ahmad, Hussain, Sajid, Muhammad Tanveer, Din, Hafeez Ud
• Format: Journal Article
• Language: English
• Published: Rawalpindi Knowledge Bylanes 30.04.2021; AsiaNet Pakistan (Pvt) Ltd; Army Medical College Rawalpindi
• Subjects: Abdomen; Armed forces; Biomarkers; Bone marrow; Cancer; Cryptorchidism; Family medical history; germ cell tumor; Leukemia; Lymphoma; Males; Pain; Patients; radical orchiectomy; seminoma; Stem cell transplantation; Testes; Testicular cancer; Tumors; undescended testis; Urology; Pakistan; India; Rawalpindi Pakistan; United States > US
• ISSN: 0030-9648; 2411-8842
• DOI: 10.51253/pafmj.v71i2.3516

Objective: To evaluate the clinical presentation of testicular tumors and their histological pattern present in our setup. Study Design: Case series. Place and Duration of Study: Armed Forces Institute of Urology (AFIU) Rawalpindi, from Jul 2016 to Jun 2019. Methodology: The documents of all the cases of testicular tumors presenting in the last 3 years were retrieved and their relevant clinical detail: age, clinical presentation, side of involvement, operative procedure conducted and the histopathology report were documented. Results: Thirty two patients of testicular tumors were documented over a period of three years, making 10.66 cases reporting per year. The mean age was 30.10 ± 15.42 years, with the youngest 3 months old infant and the eldest being 58 years of age. The tumors were commonest on the right (59.3%) with 81.2% presentation as swelling of testis. Radical orchiectomy was performed in 90.6% of the cases and retro peritoneal lymph node dissection (RPLND) in 6.2%. Germ cell tumors were found in 71.8% cases with mixed germ cell tumorbeing the commonest histopathology seen in 31.2% of the cases followed by the seminoma (25%) and non-Hodgkin lymphoma (12.5%). Conclusion: Testicular tumors were relatively uncommon in our part of the world with a limited number of cases presenting to a tertiary care urology center. The presentation was variable but a rising trend in non-Hodgkin lymphoma results in a decrease in the overall number of germ cell tumors.