title: Testicular and paratesticular tumors in children.
abstract: OBJECTIVE
  Testicular (TT) and paratesticular (PT) tumors account for 1-2%of all infant solid tumors. Due to the increased frequency of benign tumors, conservative management is recommended. Our experience and the therapeutic approach adopted considering testis-sparing surgery, was reviewed.
  
  
  METHODS
  A retrospective observational study concerning testicular and paratesticular tumors in our hospital between 1998 and 2016, was performed. Age, side, symptoms, imaging, treatment methods, histological findings and evolution were reviewed.
  
  
  RESULTS
  Nineteen cases of TT and PT were reviewed in 17 patients. A painless scrotal mass was found in most cases as the initial presentation (79%). Tumor markers were normal in all cases. Similar distribution between germ cell and stromal testicular tumors was found Nevertheless, benign and malignant PT proportion was similar. Testis preserving surgery was performed in 58% of TT and in 57% of PT.
  
  
  CONCLUSIONS
  Due to the high incidence of the benign histological findings, testicular sparing surgery should be considered as a first therapeutic option, especially in those cases with normal tumor markers.
authors.affiliation: Unidad de Gestión Clínica y Servicio de Cirugía Pediátrica. Hospital Universitario Reina Sofía. Córdoba. España.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Murcia-Pascual
authors.affiliation: Unidad de Gestión Clínica y Servicio de Cirugía Pediátrica. Hospital Universitario Reina Sofía. Córdoba. España.
authors.forename: Raquel
authors.initials: R
authors.lastname: Gracia-Rodríguez
authors.affiliation: Unidad de Gestión Clínica y Servicio de Cirugía Pediátrica. Hospital Universitario Reina Sofía. Córdoba. España y Facultad de Medicina. Universiad de Córdoba. IMIBIC. España.
authors.forename: Fernando
authors.initials: F
authors.lastname: Vázquez-Rueda
authors.affiliation: Servicio de Urología Pediátrica. Hospital Infantil La Paz. Madrid. España.
authors.forename: Pedro
authors.initials: P
authors.lastname: López Pereira
authors.affiliation: Unidad de Gestión Clínica y Servicio de Cirugía Pediátrica. Hospital Universitario Reina Sofía. Córdoba. España.
authors.forename: Rosa María
authors.initials: RM
authors.lastname: Paredes Esteban
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D013736:Testicular Neoplasms / Q000175:diagnosis / Q000628:therapy