title: The role of testis-sparing surgery in children and adolescents with testicular tumors.
abstract: Organ-sparing approaches have been applied to the treatment of a variety of urologic tumors in both the realms of adult and pediatric urology, with the goals of minimizing overtreatment of benign lesions, preserving function, and providing durable cure. The predominance of benign tumors in prepubertal patients and the reliability of both ultrasound and intraoperative frozen sections have resulted in a marked shift toward testis-sparing approaches over the last few decades. The role of testis sparing in the adolescent population is presently unclear, although there have been increasing reports of successful organ-sparing surgery for testis tumors in the adult literature. This review presents recent trends in testis-sparing approaches for both pediatric and adolescent patients, the operative technique, and some of the controversies related to testis-sparing surgery.
authors.affiliation: Department of Pediatric Urology, Rainbow Babies & Children׳s Hospital/University Hospitals Case Medical Center, Cleveland, OH. Electronic address: lynn.woo@uhhospitals.org.
authors.forename: Lynn L
authors.initials: LL
authors.lastname: Woo
authors.affiliation: Department of Pediatric Urology, Rainbow Babies & Children׳s Hospital/University Hospitals Case Medical Center, Cleveland, OH.
authors.forename: Jonathan H
authors.initials: JH
authors.lastname: Ross
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D008297:Male; D009919:Orchiectomy / Q000379:methods*; D013736:Testicular Neoplasms / Q000473:pathology / Q000601:surgery*; D013737:Testis / Q000473:pathology
keywords: Adolescent; Germ cell; Partial orchiectomy; Prepubertal; Testis cancer; Testis mass; Testis sparing; Testis tumor