title: [Management of testicular lesions in a population of infertile patients].
abstract: BACKGROUND
  Testicular parenchyma abnormalities and testis cancers are more frequent in infertile men, hence the guidelines recommending a systematic scrotal ultrasound.
  
  
  METHODS
  A retrospective review of all patients treated with total or partial orchidectomy, from January, 2000 to July, 2010, for a testicular lesion discovered during an infertility evaluation work-up. Physical, examination data, type of surgery and pathological results were reported.
  
  
  RESULTS
  Forty-five patients were treated. The majority of tumors (80%) were non palpable, and incidentally discovered with scrotal ultrasonography. Eight cases were partial orchidectomies, and 37 cases were radical orchidectomies. A frozen section examination was performed in 13 cases, and led to two radical orchidectomies. Standard histological examination revealed 33 (73.3%) benign lesions (11 Leydig cell hyperplasias, 17 Leydig cell tumors, five Sertoli cell tumors) and 10 (22.2%) malignant lesions (nine seminomas and one teratoma). Ten patients had a Klinefelter syndrome, for whom all the lesions were benign.
  
  
  CONCLUSIONS
  The majority of non-palpable testicular lesions, discovered by ultrasonography in a population of infertile men were benign tumors. Conservative management in this context appears to be an option, to preserve the endocrine function and the fertility of these patients, while being ontologically safe.
authors.affiliation: Service d'andrologie, CHRU de Lille, hôpital Calmette, boulevard du Professeur-Jules-Leclercq, 59037 Lille, France. c_butruille@hotmail.com
authors.forename: C
authors.initials: C
authors.lastname: Butruille
authors.forename: F
authors.initials: F
authors.lastname: Marcelli
authors.forename: T
authors.initials: T
authors.lastname: Ghoneim
authors.forename: L
authors.initials: L
authors.lastname: Lemaitre
authors.forename: P
authors.initials: P
authors.lastname: Puech
authors.forename: X
authors.initials: X
authors.lastname: Leroy
authors.forename: J-M
authors.initials: JM
authors.lastname: Rigot
mesh_terms: D000328:Adult; D006801:Humans; D033162:Incidental Findings; D007248:Infertility, Male / Q000150:complications*; D007713:Klinefelter Syndrome / Q000150:complications; D007984:Leydig Cell Tumor / Q000150:complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009919:Orchiectomy / Q000379:methods*; D012189:Retrospective Studies; D012611:Scrotum / Q000000981:diagnostic imaging; D018239:Seminoma / Q000150:complications / Q000601:surgery; D012707:Sertoli Cell Tumor / Q000150:complications / Q000601:surgery; D013724:Teratoma / Q000150:complications / Q000601:surgery; D013736:Testicular Neoplasms / Q000150:complications / Q000601:surgery*; D014463:Ultrasonography