Özet:

Objective: Testicular tumors make up 1% of childhood solid tumors. We retrospectively evaluated the patients who had been treated at our clinic with a diagnosis of testicular tumors and aimed to discuss the causes for redo surgery in the light of the literature.Material and Methods: We retrospectively analyzed patients who had been operated with the diagnosis of testicular tumors between 2009 and 2013 from the hospital records.Results: Seventeen patients with an age range from 2 months to 17 years were operated in our clinic with a diagnosis of testicular tumor. Eight patients had a benign pathologic results consisting of mature teratoma (n=2), rest tumor (n=1), sertoliform adenoma (n=1), keratinous cyst (n=1), simple mesothelial cyst (n=2), and Leydig cell tumor (n=1). Nine patients had a malign result consisting of paratesticular rhabdomyosarcoma (n=1), yolk sac tumor (n=6), and mixed germ cell tumor (n=2). Testis-sparing surgery was performed in five cases while high orchiectomy was performed in twelve cases. No complication was seen in the five patients who underwent a testis-sparing surgery. Hemiscrotectomy was performed in four patients who had undergone scrotal orchiectomy at other medical centers previously. Malignant residual tumor was found in a patient who underwent hemiscrotectomy. Malignancy was detected in one of three patients who underwent retroperitoneal lymphadenectomy. conclusion: Testicular cancers are seen rarely in childhood and especially in the prepubertal period and are usually benign. Surgery should always be with inguinal incision, and high orchiectomy should be administered in patients not appropriate for testis-sparing surgery. Retroperitoneal lymph node dissection (Redo surgery) can be required for the recurrence or residual retroperitoneal disease in the treatment of germ cell tumors

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