Ye Yun-Lin, He Qiu-Ming, Zheng Fu-Fug, Guo Sheng-Jie, Zhou Fang-Jian, Qin Zi-Ke
Department of Urology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, 510060, China.
Department of Urology, Jiangxi Cancer Hospital, Nanchang, 330002, China.
BMC Surg. 2017 Mar 27;17(1):31. doi: 10.1186/s12893-017-0230-1.
Testis-sparing surgery is not popular in South China. This study aimed to investigate this procedure for pediatric testicular tumors.
Children with testicular benign tumors were retrospectively analyzed from January 2001 to June 2015 in the Sun Yat-sen University Cancer Center (SYSUCC) and the First Affiliated Hospital (SYSU-1st). Follow-up was performed until June 2016, and the proportions of TSS in the two hospitals during the different periods were compared.
Forty-seven children with testicular benign tumors were enrolled, and 16 cases underwent testis-sparing surgery. All patients were cured and discharged, which included mature teratoma (n = 37), testicular adrenal rest tumors (n = 4), epidermal cysts (n = 3), granulomatous inflammation (n = 2) and adenomatoid tumors (n = 1). Inguinal testis-sparing surgery was performed in 16 children, and no recurrence was detected during follow-up. It was performed more frequently in SYSUCC than in SYSU-1st (P = 0.031), and the tumor size of these patients was smaller than those of patients who underwent radical orchiectomy (P = 0.044). Moreover, testis-sparing surgery has become more common in the past 5 years, although differences over time have not reached significance (P = 0.051).
Testis-sparing surgery is reliable, and tumor size and special hospitals affect its success. Additionally, its use has become more popular in recent years. However, advocacy is still needed for the use of this technique in pediatric testicular benign tumors that are small sized.
保睾丸手术在华南地区并不普遍。本研究旨在探讨该手术用于小儿睾丸肿瘤的情况。
回顾性分析2001年1月至2015年6月在中山大学肿瘤防治中心（SYSUCC）和第一附属医院（SYSU - 1st）的睾丸良性肿瘤患儿。随访至2016年6月，比较两家医院不同时期保睾丸手术的比例。
纳入47例睾丸良性肿瘤患儿，16例行保睾丸手术。所有患者均治愈出院，包括成熟畸胎瘤（n = 37）、睾丸肾上腺残余肿瘤（n = 4）、表皮样囊肿（n = 3）、肉芽肿性炎症（n = 2）和腺瘤样肿瘤（n = 1）。16例患儿行腹股沟保睾丸手术，随访期间未发现复发。SYSUCC行该手术的频率高于SYSU - 1st（P = 0.031），这些患者的肿瘤大小小于行根治性睾丸切除术的患者（P = 0.044）。此外，保睾丸手术在过去5年中变得更为常见，尽管随时间的差异未达到显著水平（P = 0.051）。
保睾丸手术可靠，肿瘤大小和特定医院会影响其成功率。此外，近年来其应用更为普遍。然而，对于小尺寸小儿睾丸良性肿瘤使用该技术仍需推广。
