15th December 2017, Volume 130 Number 1467

Timothy Little, Shareena Lala, Vipul Upadhyay

Cribb et al1 published a series of paediatric ovarian masses at our institution in 2014, finding a relatively large number of patients vis-à-vis international comparisons. We now analyse our experience…

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Summary

Testicular tumours in children are rare. Our experience in managing such tumours is similar to that published by other major centres for paediatric surgery across the world. There may be scope to develop the practice of testicle-sparing surgery (ie, not removing the whole testicle when there is a tumour), but this has not been our practice thus far. Overall, survival rates are excellent.

Abstract

Aim

This is a 12-year, single-centre retrospective review of paediatric testicular tumours and review of the world literature on paediatric testicular tumours. The aim was to identify presenting features, the range of pathology and management of such tumours in comparison with other published series.

Method

The hospital’s pathology database was searched for all testicular and paratesticular tissue submitted for patients younger than 16 years of age during the 12-year study period January 2000 to December 2011, and patients with testicular tumours identified. A detailed review of clinical records was then completed and summary statistics calculated.

Results

There were 33 tumours and 22 (66.7%) were malignant. The most common tumour was mature teratoma. No tumours presented with a twisted gonad. The mean incidence per year was 2.75 cases. This is comparable to other reported series worldwide (median 1.92, range 1.7–6.3).

Conclusion

Testicular tumours in children are rare. In our centre, mature teratoma was the most common tumour, and malignant testicular tumours did not present with torsion. Our experience in managing gonadal tumours is similar to that published by major centres for paediatric surgery across the world. There is scope to develop the practice of testis-sparing surgery.

Author Information

Timothy Little, Paediatric Surgical Registrar, Department of Paediatrics and Child Health, Wellington Regional Hospital, Wellington; Shareena Lala, Paediatric Surgical Registrar, Department of Paediatric Surgery, Starship Children’s Hospital, Auckland; Vipul Upadhyay, Paediatric Surgeon and Paediatric Urologist, Department of Paediatric Surgery, Starship Children’s Hospital, Auckland.

Acknowledgements

Mike Watson (Consultant Paediatric Histopathologist) and Daniel Wong from LabPLUS for their generosity in providing assistance with the database search. Steve Evans (Consultant Paediatric Surgeon) for reviewing the manuscript.

Correspondence

Tim Little, Department of Paediatrics & Child Health, Wellington Regional Hospital, Riddiford Street, Newtown, Wellington 6021.

Correspondence Email

mrtlittle@gmail.com

Competing Interests

Nil.

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