title: Benign testicular tumors: a case for testis preservation?
abstract: Between June 1980 and June 1986, 345 inguinal explorations for intrascrotal space-occupying lesions were performed. In 47 patients benign testicular tumors were diagnosed (13.5%). In 32 of the 47 tumors (68%), the testis could be preserved by excision or enucleation of the tumor. In the remaining 15 patients a high semicastration was carried out: in 12 cases macroscopic examination or frozen section revealed doubtful benignity (6 Leydig cells tumors, 5 dermoid cysts and 1 epidermoid cyst), in 3 patients because of extensive involvement of the testis. In a follow-up period of 1-7 years none of the patients has shown evidence of tumor recurrence or metastasis. Changing the concept of not incising the parietal tunica of the testis and regarding clear-cut macroscopic and histological criteria of benignity on frozen section will safely lower the testicular loss rate from up to 80% to about 30% when benign tumors are encountered.
authors.affiliation: Department of Urology, Bundeswehrkrankenhaus Hamburg, Ulm, FRG.
authors.forename: K
authors.initials: K
authors.lastname: Kressel
authors.forename: D
authors.initials: D
authors.lastname: Schnell
authors.forename: W F
authors.initials: WF
authors.lastname: Thon
authors.forename: B
authors.initials: B
authors.lastname: Heymer
authors.forename: M
authors.initials: M
authors.lastname: Hartmann
authors.forename: J E
authors.initials: JE
authors.lastname: Altwein
mesh_terms: D003884:Dermoid Cyst / Q000601:surgery; D004814:Epidermal Cyst / Q000601:surgery*; D006801:Humans; D007984:Leydig Cell Tumor / Q000601:surgery; D008297:Male; D009919:Orchiectomy; D013733:Testicular Diseases / Q000601:surgery*; D013736:Testicular Neoplasms / Q000601:surgery