title: Histopathological Trends of Testicular Neoplasm: An Experience over a Decade in a Tertiary Care Centre in the Malwa Belt of Central India.
abstract: BACKGROUND
  Testicular and para-testicular neoplasm are rare type of tumours affecting adolescents and young adults, reflected by the paucity of published data in India.
  
  
  OBJECTIVE
  This study was undertaken to estimate the epidemiological characteristics and histological types and subtypes of testicular neoplasm according to the WHO classification in our patient group. Identification of histopathological pattern of testicular tumour is immensely important for improved management protocols.
  
  
  METHODS
  This was a retrospective study done over a period of ten years from 2004 to 2014 in a tertiary care centre. All relevant clinical data including patient's age, laterality, history of risk factors and serum tumour markers were collected from records. Histopathological slides were retrieved and reviewed for tumour and its subtype and classified according to WHO classification (2004).
  
  
  RESULTS
  A total of 37 cases of testicular and paratesticular neoplasm were encountered in our study with a mean age of 38.1 years. Right testis was affected in 70.3% of cases. The most common clinical presentation was scrotal swelling with heaviness. Germ cell tumour was the most common type accounting for 77.1% followed by lymphomas (17.1%). Germ cell tumours were categorized into seminomatous (48.2%) and non-seminomatous tumours (51.8%). The most common subtype of non-seminomatous tumours was mixed germ cell tumour accounting for 85.8%.
  
  
  CONCLUSIONS
  The incidence of testicular neoplasm among general population in Asian countries is low, as reflected in the very few studies that have been performed and published in literature. Epidemiological and histomorphological spectrum of our study was comparable to most of the countries except for some African and Western countries.
authors: Assistant Professor, Department of Pathology, Sri Aurobindo Medical College and PG Institute , Indore, India .
authors: Preeti Rihal
authors: PR
authors: Chakrabarti
authors: Assistant Professor, Department of Pathology, Sri Aurobindo Medical College and PG Institute , Indore, India .
authors: Shilpi
authors: S
authors: Dosi
authors: Professor and Head, Department of Pathology, Sri Aurobindo Medical College and PG Institute , Indore, India .
authors: Amit
authors: A
authors: Varma
authors: Junior Resident, Department of Pathology, Sri Aurobindo Medical College and PG Institute , Indore, India .
authors: Priyanka
authors: P
authors: Kiyawat
authors: Junior Resident, Department of Pathology, Sri Aurobindo Medical College and PG Institute , Indore, India .
authors: Gaurav
authors: G
authors: Khare
authors: Junior Resident, Department of Pathology, Sri Aurobindo Medical College and PG Institute , Indore, India .
authors: Sandeep
authors: S
authors: Matreja
keywords: Carcinoma testis; Germ cell tumor; Seminoma