Bilateral germ cell tumors of the testis.
In a retrospective study of 530 patients with testicular germ cell tumors treated between 1977 and 1993, a group of 12 patients (2.26%) with bilateral testicular tumors was analyzed. While bilateral tumors were simultaneously present in two cases (both with different histologic types), consecutive development of a tumor in the contralateral testis was observed in 10 patients 5.25 years (range, 3-13.5 years) after orchiectomy for the first tumor. The authors highlight the variability of histologic types in both testes, the need for an individual therapeutic approach with a view to previous therapy for the first tumor, the need for hormonal replacement as well as the possibility of testicular prosthesis implantation following bilateral orchiectomy.
Ondrus
D
D
Department of Urology, Comenius University Medical School, Dérer Hospital, Bratislava, Slovakia.
Matoska
J
J
Hornák
M
M
D000328:Adult; D005500:Follow-Up Studies; D018237:Germinoma / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D009919:Orchiectomy; D011859:Radiography; D012008:Recurrence; D012189:Retrospective Studies; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D013997:Time Factors