Article in Review. Characterization of Testicular Cancer Hospital General San Juan de Dios, January 2014 to June 2015.

Authors

  • Néstor F. Carrillo
  • Manuel Estrada
  • Mario Montejo
  • Mario Roberto Morales

DOI:

https://doi.org/10.54212/27068048.v2i1.104

Keywords:

Testicular Cancer, Germ Cells, Seminoma, Radical Orchiectomy

Abstract

Introduction: Testicular tumors exhibit morphological characteristics and various clinical manifestations, 95% are germ cell tumors, they are usually classified into seminoma and nonseminoma, representing 1 to 2% of cancers in men.

Objective: To characterize testicular cancer in our population, based on their frequency, age of onset, histologic type, presenting symptoms, to know that we face when evaluating these patients.

Methods: Collecting data direct medical records of 23 patients who underwent radical orchiectomy for the period January 2014 to June 2015 in the General Hospital San Juan de Dios.

Results: A total of 23 patients were evaluated with a diagnosis of testicular tumor, the highest incidence occurred in patients ranging in age from 21-40 years (52.7%), symptom or sign was mostly presented palpable testicular mass (82% ), time to disease progression before the consultation was less than 6 months, all patients underwent radical orchiectomy, the most common pathologic diagnosis was pure seminoma with 10 patients (43.47%) of all patients, 15 showed the tumor marker hCG elevated β, 4 had elevated AFP, with 80% of patients residents of the capital city, and in 17 patients affected teste corresponded to the left (75%), 82% of patients received chemotherapy after surgical treatment, no death was not reported in the review.

Conclusion: testicular tumor is an important cause of morbidity in men, especially those not diagnosed in time, however mortality in our center is zero or equal to 0, self-examination is always recommended in males and check for any manifestation other than normal genital level.

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References

Campbell Walsh Urology, section VII, male genitalia, Neoplasm of the testis, chapter 31.

Chung P, Mayhew LA, Warde P, et al. Management of stage I seminomatous testicular cancer: a systematic review. Clin Oncol (R Coll Radiol) 2010; 22:6-16. https://doi.org/10.1016/j.clon.2009.08.006 DOI: https://doi.org/10.1016/j.clon.2009.08.006

Einhorn LH. Treatment of testicular cancer: a new and improved model. J Clin Oncol 1990;8:1777-81. https://doi.org/10.1200/JCO.1990.8.11.1777 DOI: https://doi.org/10.1200/JCO.1990.8.11.1777

George DW, Foster RS, Hromas RA, et al. Update on late relapse of germ cell tumor: a clinical and molecular analysis. J Clin Oncol 2003;21: 113-22. https://doi.org/10.1200/JCO.2003.03.019 DOI: https://doi.org/10.1200/JCO.2003.03.019

Published

2016-12-31

How to Cite

Carrillo, N. F. ., Estrada, M., Montejo, M., & Morales, M. R. (2016). Article in Review. Characterization of Testicular Cancer Hospital General San Juan de Dios, January 2014 to June 2015. Revista Guatemalteca De Urología, 2(1), 8–10. https://doi.org/10.54212/27068048.v2i1.104

Issue

Section

Artículos de Revisión

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