ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ TỔN THƯƠNG GIẢI PHẪU BỆNH U TINH HOÀN LÀNH TÍNH ĐƯỢC ĐIỀU TRỊ PHẪU THUẬT TẠI BỆNH VIỆN NHI TRUNG ƯƠNG

Abstract

Purpose: Present clinical, paraclinical characteristics and pathology finding of testicular tumors in our hospital. Materials and methods: We retrospectively reviewed 30 patient’s records of benign testicular tumors operated in our hospital from 01/2016 to 12/2020. Result: The average age was 1,46 year, cases aged 0 – 2 years in 70%. Initial symptoms of all cases is painless of scrotal mass. Scrotal ultrasound and αFP dosage were done before operation. All cases had normal or slight increase of αFP dosage but did not exceed 100 ng/ml in children older than 6 months. Main surgery method was testis – sparing surgery in 73,4% and 76,7% patients had inguinal incision, 1 case performed laparoscopic orchiectomy. The intraoperative frozen biopsy was carried out in 53,3%. Postoperative pathological results consisted of 76,7% mature teratomas, 10% immature teratomas, 10% demoid cysts and 3,3% Sertoli cell tumors. Conclusion: Scrotal ultrasound and testicular tumor markers are two important tools in the evaluation of pediatric testicular tumors. The most popular histopathology of benign testicular tumors is teratoma. Main surgery method is testis – sparing surgery.