Benign testicular tumour in non-palpable scrotal lesions in patients with abnormal testicular ultrasound
BAUS ePoster online library. Phan Y. 06/27/18; 211373; P9-1
Yih Chyn Phan
Yih Chyn Phan
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Introduction: Radical orchidectomy may represent a life changing experience for patients. Clinicians strive to accurately diagnose testicular malignancy through careful scrotal examination and testicular ultrasound prior to surgery. Nevertheless, no investigation is 100% accurate. We aim to find out the occurrence of benign testicular tumour in men without palpable scrotal lesions but with abnormal testicular ultrasound.

Methodology: All pathological outcomes of orchidectomies from Jan 2011 to Dec 2016 were retrospectively analysed.

Results: 220 orchidectomies were performed during this period. 146 patients with a mean age of 44 years old underwent radical inguinal orchidectomies for possible malignancies due to abnormal testicular ultrasound findings with or without palpable lesions. 115 of these patients had palpable scrotal lesions. 101(88%) of these men had malignant tumours on histopathology. 31 patients had no palpable scrotal lesion but had abnormal testicular ultrasound findings that are suspicious of a testicular tumour. Of these patients, 15 (48%) had malignant tumours while 16 patients (52%) had benign testicular tumours.

Conclusions: 88% patients with clinically palpable scrotal tumour and ultrasound abnormality were found to have malignant tumour. In contrast, only 52% patients were found to have malignant tumours with ultrasound abnormality without a palpable lesion. Whilst this may not change the need for surgical excision, it is an important consideration in the pre-operative counseling of these men and offer ultrasound surveillance in these men.
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