title: Surgical repositioning of the contralateral testicle before irradiation of a paratesticular rhabdomyosarcoma for preservation of hormone production.
abstract: Little has been published so far about the possibility of preserving an uninvolved testicle by surgically transferring it out of the irradiation field. A then 16-year-old boy developed a right paratesticular embryonal rhabdomyosarcoma in 2003. Initial treatment consisted of orchiectomy and chemotherapy. Prior to local radiotherapy, the contralateral testicle was surgically transferred into the left groin region. Hyperfractionated, accelerated radiation therapy was administered to a total dose of 44.0 Gy. After radiotherapy, the testicle was returned. The patient's testosterone levels are still normal. No clinical abnormalities or signs of tumor had been observed as of June 2006.
authors.affiliation: Radiotherapy Clinic and Policlinic, University of Rostock, Germany.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Grüschow
authors.forename: Ulrike
authors.initials: U
authors.lastname: Kyank
authors.forename: Gerhard
authors.initials: G
authors.lastname: Stuhldreier
authors.forename: Rainer
authors.initials: R
authors.lastname: Fietkau
mesh_terms: D000293:Adolescent; D003131:Combined Modality Therapy; D006728:Hormones / Q000096:biosynthesis*; D006801:Humans; D008297:Male; D011878:Radiotherapy / Q000379:methods*; D012208:Rhabdomyosarcoma / Q000532:radiotherapy / Q000628:therapy*; D013736:Testicular Neoplasms / Q000532:radiotherapy / Q000628:therapy*; D013737:Testis / Q000601:surgery
chemical_list: D006728:Hormones