Abstract:

Objective Testicular tumors are rare in childhood In this study, it was aimed evaluate our patients with testicular tumor. Patients and methods Twenty patients had been evaluated between 2006- 2016 in terms of age, presenting symptoms, side, presence of metastasis, surgical intervention, histopathological evaluation results, preoperative AFP and βhcg levels. Results Twenty patients were between 0.4 and 17.5 years old (median 8.8 years).  Preoperative AFP values ​​were high in 9 (45%) patients (5 teratom and 4 endodermal sinus tumor) and βHCG values were high in 4 (20%) patients (3 teratom and 1 endodermal sinus tumor). At diagnosis, 5 patients had metastasis ( 2 luns and 3 retroperitoneal lymh nodes). 8 (40%) patients underwent orchiectomy after frozen biopsy, 9 (45%) patients underwent orchiectomy, 1 (5%) patient underwent testis sparing surgery after frozen biopsy. Histopathological examination revealed that there was germ cell tumor in 13 (65%) patients including endodermal sinus tumor in 5 (25%) patients, mixed germ cell tumor in 4 (20%) patients, teratoma in 3 (15%) patients, seminoma in 1 patient), neoplastic infiltration in 4 (20%) patients, paratesticular rhabdomyosarcoma in 2 (10%) patients and malign mesenchymal tumor in 1 (5%) patient. 14 (70%) patients received chemotherapy and 2 (10.5%) patients received radiotherapy.  Metastases developed in 3 (15.7%) of the patients.  Two (10.5%) patients with neoplastic infiltration were exitus.   Conclusion In childhood testicular malignancies, testis sparing surgery should be tried in appropriate patients.  Frozen biopsy is helpful in determining surgical method.

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