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Updated: May 7, 2026

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Tumores paratesticulares: una revisión sistemática y un algoritmo de gestión basado en el riesgo propuesto

Daniel Jhang¹, Kirulus Amin¹, Ala'a Farkouh¹

¹Loma Linda University Department of Urology.

|September 3, 2025

Resumen

Esta revisión sistemática de tumores paratesticulares encontró que el liposarcoma es más común en los casos malignos y el adenomatoide en los casos benignos. Se desarrolló un nuevo algoritmo de gestión basado en el riesgo para la toma de decisiones clínicas.

Área de la Ciencia:

Urología
En el campo de la oncología
Radiología

Sus antecedentes:

Los tumores paratesticulares son neoplasias raras.
El diagnóstico y el tratamiento precisos son cruciales para los resultados de los pacientes.

Objetivo del estudio:

Para llevar a cabo una revisión exhaustiva de la literatura sobre los tumores paratesticulares.
Para desarrollar un nuevo algoritmo de manejo para estos tumores.

Principales métodos:

Revisión sistemática de los estudios realizados entre 1980 y 2024 con arreglo a las directrices PRISMA.
PUBMED búsqueda de tumores paratesticulares en pacientes mayores de 16 años.
Extracción de datos sobre la histología, la presentación, las imágenes, el tratamiento y los resultados.

Principales resultados:

Se analizaron 85 estudios (479 casos): 397 malignos y 82 benignos.
Maligno: liposarcoma (40%); Benigno: adenomatóide (34%).
Masa escrotal indolora, presentación común para ambos, hallazgo fortuito de benigno.

Conclusiones:

Primera revisión sistemática que detalla las características del tumor paratesticular por histología.
Desarrolló un nuevo algoritmo de gestión basado en el riesgo para el apoyo a las decisiones clínicas.

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