Open AccessIs testis-sparing surgery safe in small testicular masses? Results of a multicentre study
Author(s) -
Murat Keske,
Abdullah Erdem Canda,
Serdar Yalçın,
Aydan Kılıçarslan,
Yusuf Kïbar,
Can Tuygun,
Evrim Önder,
Ali Fuat Atmaca,
Asif Yildırım,
Sıdıka Şeyma Özkanlı,
Olcay Kandemir,
Taner Kargı,
Mehmet Sar,
Volkan Tuğcu,
Berkan Reşorlu,
Yılmaz Aslan,
Selçuk Sarıkaya,
Uğur Boylu,
Ali Fuat Çiçek,
Halil Başar,
Altuğ Tuncel,
Mevlana Derya Balbay
Publication year - 2017
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.477
H-Index - 38
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.4016
Subject(s) - medicine , urology , gastroenterology , surgery
Our goal was to evaluate benign and malignant lesions and testicular intraepithelial neoplasia (TIN) in the neighbouring normal- appearing testis tissue in men who underwent radical orchiectomy for testicular mass with a pathologic tumour size of ≤3cm.Methods: In this retrospective, multicentre study, data of 252 patients from 11 different institutions were included. Patients were divided into three groups based on tumour size: Group 1 (0‒1 cm; n=35), Group 2 (1.1‒2 cm; n=99), and Group 3 (2.1‒3 cm; n=118). Benign lesions and TIN were sought in the neighbouring testicular tissue and compared between groups.Results: Mean patient age was 32.3 years. Benign lesions were reported in 54.3%, 33.3%, and 14.4% of Groups 1, 2, and 3, respectively (p 0.05 for Groups 2 vs. 3). Multifocality was detected in 8.6%, 4%, and 0% of Groups 1, 2, and 3, respectively (p 0.05 for Group 1 vs. Group 2). A tumour cutoff size of 1.5 cm was found to be significant for detecting benign tumour. TIN and multifocality rates were similar in patients with a tumour size of ≤1.5 vs.>1.5 cm (p>0.05).Conclusions: Benign lesions and TIN in the neighbouring testis were significantly decreased and multifocality was increased in patients with a tumour mass size of ≤1 cm. Testis-sparing surgery should be performed with caution and a safety rim of normal tissue should also be excised.