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Updated: Mar 9, 2026
Teratoma Generation in the Testis Capsule
Published on: November 7, 2011
Testicular and paratesticular tumors in children
Francisco Javier Murcia-Pascual1, Raquel Gracia-Rodríguez1, Fernando Vázquez-Rueda2
1Unidad de Gestión Clínica y Servicio de Cirugía Pediátrica. Hospital Universitario Reina Sofía. Córdoba. España.
Insights
Testicular (TT) and paratesticular (PT) tumors are rare in infants. Testis-sparing surgery is recommended due to the high rate of benign tumors, especially with normal tumor markers.
Area of Science:
- Pediatric oncology
- Urologic oncology
Background:
- Testicular (TT) and paratesticular (PT) tumors represent 1-2% of infant solid tumors.
- Benign tumors are frequent, supporting conservative management strategies.
Purpose of the Study:
- To review institutional experience with TT and PT tumors in infants.
- To evaluate the therapeutic approach, focusing on testis-sparing surgery.
Main Methods:
- Retrospective observational study from 1998-2016.
- Reviewed 19 cases in 17 patients, analyzing age, side, symptoms, imaging, treatment, histology, and outcomes.
Main Results:
- Painless scrotal mass was the most common presentation (79%).
- Tumor markers were consistently normal.
- Testis-preserving surgery was performed in over 57% of cases for both TT and PT.
Conclusions:
- Testicular sparing surgery is a viable first-line option for infant TT and PT.
- High incidence of benign histology supports conservative surgical approaches, particularly when tumor markers are normal.
Objectives:
Testicular (TT) and paratesticular (PT) tumors account for 1-2%of all infant solid tumors. Due to the increased frequency of benign tumors, conservative management is recommended. Our experience and the therapeutic approach adopted considering testis-sparing surgery, was reviewed.
Methods:
A retrospective observational study concerning testicular and paratesticular tumors in our hospital between 1998 and 2016, was performed. Age, side, symptoms, imaging, treatment methods, histological findings and evolution were reviewed.
Results:
Nineteen cases of TT and PT were reviewed in 17 patients. A painless scrotal mass was found in most cases as the initial presentation (79%). Tumor markers were normal in all cases. Similar distribution between germ cell and stromal testicular tumors was found Nevertheless, benign and malignant PT proportion was similar. Testis preserving surgery was performed in 58% of TT and in 57% of PT.
Conclusions:
Due to the high incidence of the benign histological findings, testicular sparing surgery should be considered as a first therapeutic option, especially in those cases with normal tumor markers.
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