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Rhabdomyosarcoma
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
Gideon Sandler, Andrea Hayes-Jordan
Paratesticular RMS originates from the epididymis, spermatic cord, testis, and tunica albuginea, is usually spindle cell, and usually presents early as a painless scrotal mass. It is usually primarily resectable by inguinal orchiectomy (Figure 61.4) with high ligation and complete resection of the spermatic cord and has an excellent prognosis (Table 61.4: Procedure 4). If the tumor is biopsied via the scrotum or fixed to it, or if there is tumor spillage, hemiscrotectomy or hemiscrotal RT is recommended in order to avoid recurrence. The contralateral testis should be transposed out of the field and into the abdomen or a thigh pouch to preserve fertility.
Anesthesia for Urogenital Surgery
Published in Kevin R. Loughlin, Complications of Urologic Surgery and Practice, 2007
Linda S. Aglio, James A. Street, Paul D. Allen
Germ cell tumors constitute 95% of all testicular tumors. They are either seminomas or nonseminomas. The initial management is radical (inguinal) orchiectomy. Subsequent management depends on the histology of the tumor.
Characteristic features of primary testicular lymphoma and survival trends: a multicenter clinical study
Published in Hematology, 2022
Yujiao Sun, Xueshen Yan, Hongguo Zhao, Zhongguang Cui, Yayun Wang, Shuxiang Sun, Xiaohan Ning, Hong Xu
In our study, 6 patients (12.24%) underwent orchiectomy only as a diagnostic and initial therapy. One patient received conservative treatment (without chemotherapeutic agents) because of advanced age, and 2 patients received chemotherapy alone without orchiectomy. Twenty-nine patients (59.18%) received inguinal orchiectomy and systemic chemotherapy. In addition, 11 patients (22.45%) received systemic chemotherapy and RT after inguinal orchiectomy. Of all patients who received chemotherapy, 1 received rituximab alone; other patients’ chemotherapy regimen contained multiple drugs. The details are presented in Tables 2 and 3. Four patients received R-hyper CVAD/MA chemotherapy, 23 patients received R-CHOP chemotherapy, 8 patients received R-CHOP combined with higher doses of MTX, and 6 patients received CHOP chemotherapy. Among the whole cohort, prophylactic intrathecal injection (ITH) was performed in 24 patients.
Malignant hydrocele: a rare manifestation of peritoneal carcinomatosis of colorectal origin as a transcoelomic spread into the scrotum – case report and literature overview
Published in Scandinavian Journal of Urology, 2018
Janusz Frey, Luiza Dorofte, Pernilla Sundqvist
On 17 October 2016, resection of the liver metastasis located in segments 2–3 and local resection of recurrence in the previous ileocolic anastomosis were performed in the tertiary grade PC surgery centre. No orchiectomy was performed at that time, according to the decision of the operating team, probably based on the relatively low clinical suspicion of malignancy, and the patient underwent subsequent right-sided inguinal orchiectomy in the Department of Urology, Örebro University Hospital, Sweden, on 1 December 2016. Intraoperative pictures are presented in Figure 3.
Unusual presentation of epidermoid cyst from testis in an aging male
Published in The Aging Male, 2020
We performed a left radical inguinal orchiectomy with the initial diagnosis of malignant testicular tumor. Histopathologic examination disclosed a 20 × 15 × 14 mm cyst epidermoid cyst filled with yellowish material with smooth borders. Cystic areas were enclosed with stratified squamous epithelium and included keratinous material as well as severe calcification and ossification foci. Peripheral testicular tissue was edema (Figure 2). The patient received no adjuvant treatment. The first 6 month follow-up was uneventful and hematospermia disappeared.