Authors: Mohan Marulaiah Amardeep Gilhotra Lynette Moore Hilary Boucaut Day Way Goh
Publish Date: 2010/02/12
Volume: 34, Issue: 5, Pages: 969-974
Abstract
Pathology results of all testicular and paratesticular specimens between August 1995 to September 2007 were analyzed Clinical details were retrieved retrospectively from the computerized database recording age mode of presentation laterality and associated inguinoscrotal pathologyOver 12 years 2 months 474 patients 502 specimens were identified Testicular and paratesticular pathology was most frequent in patients aged 1–2 years 11 and 11–12 years 105 In all 442 patients had nonneoplastic pathology with 604 presenting acutely The most common nonneoplastic pathologies were hydatid of Morgagni 426 and “vanishing testis” 143 Vanishing and atrophic testes were frequently explored between 1 and 2 years of age with a left predominance Most atrophic testes were undescended 548 Testicular torsion occurred in 112 with bimodal peak ages of 1 year and 13–14 years Interestingly testicular torsion also occurred more on the left side 68 A total of 32 patients had neoplasms Of 27 patients with testicular neoplasms 556 were malignant 296 primary and 26 secondary the principal primary malignancy was yolk sac tumor the most common benign neoplasms were epidermoid cysts and teratomas Five patients had paratesticular neoplasms with rhabdomyosarcoma in 80The variety of scrotal and testicular pathology in children is considerable with acute pathologic conditions comprising the bulk in the older 7–15 years children whereas impalpable testes and neoplasms comprise most of the lesions in infants Interestingly testicular torsion vanishing testes and atrophic testes occur mainly on the left side Benign testicular neoplasms occur more frequently than primary malignancies
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