Kebudi Rejin, Sezer Ali, Eliçevik Mehmet, Ocak Süheyla, Çomunoğlu Nil, Birgen Dilek, Kervancıoğlu Mehmet Ertan, Kuruğoğlu Sebuh
Division of Pediatric Hematology-Oncology, Oncology Institute, Istanbul University, Istanbul, Turkey; Department of Pediatrics, Division of Pediatric Hematology-Oncology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Department of Pediatric Surgery, Division of Pediatric Urology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Urology. 2020 Jun;140:155-158. doi: 10.1016/j.urology.2020.03.012. Epub 2020 Mar 18.
Bilateral testicular tumors are very rare in pediatric patients and only a few case reports have been reported. These patients have a high risk of sterility due to bilateral orchiectomy and subsequent gonadotoxic treatments. Therefore, if possible, testis-sparing surgery should be performed in patients with benign masses and testicular tissue preservation may be recommended in order to maintain fertility in later life. We present a 23 months old boy with synchronous bilateral testicular tumor managed with unilateral orchiectomy and testis-sparing surgery and testicular tissue cryopreservation performed to the controlateral side. We also review the literature on bilateral testis tumors in children.
双侧睾丸肿瘤在儿科患者中非常罕见，仅有少数病例报告。由于双侧睾丸切除术及随后的性腺毒性治疗，这些患者存在不育的高风险。因此，如有可能，对于良性肿块患者应进行保留睾丸手术，为维持患者日后生育能力，可考虑保留睾丸组织。我们报告了一名23个月大的男孩，患有同步双侧睾丸肿瘤，采用单侧睾丸切除术、保留睾丸手术及对侧睾丸组织冷冻保存进行治疗。我们还回顾了有关儿童双侧睾丸肿瘤的文献。
