Tumor of the testicular vitelline sac in children: clinical course and treatment

• Published in: Actas urologicas españolas Vol. 19; no. 1; p. 59
• Main Authors: Reig Ruiz, C, García Ibarra, F, Domínguez Hinarejos, C, Estornell Moragues, F, Martínez Verduch, M, Castell Sánchez, V
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.01.1995
• Subjects: Child, Preschool; Follow-Up Studies; Humans; Infant; Male; Neoplasm Staging; Retrospective Studies; Testicular Neoplasms - pathology; Testicular Neoplasms - therapy
• ISSN: 0210-4806; 1699-7980

Presentation of a review of 10 paediatric patients with tumour of the testis vitelline sack, to report our experience in the management of this pathology. Mean age was 20 months (14-32), and the interval of the study was from 1970 to 1994. After orchiectomy, 7 children were included in stage I, 1 in stage II, and 2 in stage III. Four underwent Retroperitoneal Lymphadenectomy. All patients in stage I are currently free of disease, with a mean follow-up of 132 months, regardless the type of treatment employed (vigilance in 2 cases, chemotherapy in 2, and chemotherapy plus Retroperitoneal Lymphadenectomy in 3). On the contrary, the 3 children with extratesticular disease died 15, 18 and 15 months after orchiectomy. In conclusion, we believe that patients included in stage I should undergo only a strict vigilance, based on the excellent prognosis of this group and the lack of differences between the survival time obtained with the various therapeutical approaches followed. On the other hand, patients with stage II or stage III disease should receive from the beginning chemotherapy, thus saving the Retroperitoneal Lymphadenectomy for the residual disease.