J Korean Cancer Assoc.
2001 Apr;33(2):178-182.
Testis Tumor: A Review of 42 Cases
- Affiliations
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- 1Department of Urology, School of Medicine, Kyung Hee University, Seoul, Korea.
Abstract
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PURPOSE: This study was performed in order to evaluate the clinical characteristics, effect of treatment and
prognosis in patients with testicular tumors.
MATERIALS AND METHODS
We retrospectively reviewed 42 patients with testicular tumor treated at our hospital.
We analyzed the pathologic classification, clinical stage, preoperative tumor markers, treatment methods, clinical
characteristics, and prognosis.
RESULTS
The histologic type was seminoma in 11, teratoma in 10, yolk sac tumor in 5, embryonal cell carcinoma
in 4, mixed type in 8 and secondary neoplasm in 4. Clinically, 31 patients were stage I, 2 stage IIa, 2 stage
IIb, 1 stage IIc, 6 stage IV. Following orchiectomy, 22 patients underwent surveillance, 12 chemotherapy, 4 radiation
therapy, 1 retroperitoneal lymph node dissection (RPLND),
2 radiation plus chemotherapy, and 1 radiation plus chemotherapy and RPLND. The 10-year survival rate was
90.9% in the cases of seminoma. Similarly, the 10-year survival rate was 96.0% in the cases of non-seminomatous
germ cell tumors (NSGCT).
CONCLUSION
In our study, patients with testicular tumor revealed an excellent survival rate. Testicular tumors
are solid tumors that have a possibility of complete remission by additional chemotherapy or radiation following
radical surgery. Therefore, early detection and aggressive treatment were mandatory.