title: Testicular tumours in prepubertal children: About eight cases.
abstract: BACKGROUND
  To analyze the spectrum of testicular tumors in prepubertal children and the therapeutic resultants in an unselected population.
  
  
  METHODS
  Our hospital database was analyzed for testicular tumors from January 1995 to December 2010 concerning clinical presentation, treatment and therapeutic results.
  
  
  RESULTS
  Eight patients were operated on because of testicular tumors. In six cases (75%) the tumor was benign: benign teratoma (four cases), epidermoid cyst (one case) and immature teratoma (one case). Two patients (25%) had a malignant tumour: yolk-sac tumour (two cases). All this children underwent surgery. Radical inguinal orchidectomy was performed in six cases and conservative surgery was performed in two cases. One patient has received adjuvant chemotherapy. Follow-up was uneventfully three years after primary surgery.
  
  
  CONCLUSIONS
  In prepubertal children, most testicular tumours are benign. If tumour markers were negative testis-preserving surgery can be proposed, complete excision of the tumour should be ascertained. In the case of testicular teratoma, the possibility of contralateral tumour should be considered in the follow-up.
authors.affiliation: Department of Pediatric Surgery B, Children's Hospital of Tunis, Faculty of Medecine of Tunis, University of Tunis El Manar, Tunisia. kakoum_rochdi@yahoo.fr
authors.forename: Rachid
authors.initials: R
authors.lastname: Khemakhem
authors.forename: Yosra Ben
authors.initials: YB
authors.lastname: Ahmed
authors.forename: Said
authors.initials: S
authors.lastname: Jlidi
authors.forename: Faouzi
authors.initials: F
authors.lastname: Nouira
authors.forename: Faten
authors.initials: F
authors.lastname: Fdhila
authors.forename: Awatef
authors.initials: A
authors.lastname: Charieg
authors.forename: Sofiene
authors.initials: S
authors.lastname: Ghorbel
authors.forename: Sihem
authors.initials: S
authors.lastname: Barsaoui
authors.forename: Béji
authors.initials: B
authors.lastname: Chaouachi
mesh_terms: D017024:Chemotherapy, Adjuvant; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D018240:Endodermal Sinus Tumor / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007223:Infant; D008297:Male; D009919:Orchiectomy / Q000379:methods*; D012189:Retrospective Studies; D013724:Teratoma / Q000175:diagnosis* / Q000628:therapy; D013736:Testicular Neoplasms / Q000175:diagnosis* / Q000628:therapy; D016896:Treatment Outcome