Clinical Analysis Of Primarily Testiclular Tumors In One-hundred And Seven Children

Objective: To reduce misdiagnosis and to raise the correctness and early of the diagnosis in children with primarily testiclular tumors.Methods: Data of 107 children with primarily testiclular tumors were analyzed retrospectively which were accepted the treatment of operation,and analysis of the misdiagnosis,diagnosis and treatment of these children.Results: Depending on the pathology examination,there were 57 yolk sac tumor,42 teratoma,2 epidermoid cyst,2 benign mesenchymoma,2 adenomatoid tumor,1 malignant sex cord-mesenchyal tumor,1 yolk sac tumor with spermatocytoma. Diagnostic puncture was done in 5 patients pre-hospital ,and all of them were not get the diagnosis.After the diagnostic puncture they all died in the next one year. Frozen section pathological examination during in operation was done in 45 patients which diagnosis the benign tumors or can not diagnosis before surgery,Depending on it,testicle-sparing surgery or radical orehidectomy was performed accordingly.23 cases were misdiagnosed as testitis,hydrocele of tunica vaginalis.indirect inguinal hernia,tuber culos is of epididymis and testis.Some cases were performed with puncture biospy or operation as hydrocele of tunica vaginalis.Conclusions:1. Most of primarily testiclular tumors source from germocyte in children,there are more malignant tumor than benign tumor,and at most is yolk sac tumor,the next is teratoma among the total.The major manifestation is scrotal mass without pain in primarily testiclular tumors in children.Most of primarily testiclular tumors were acquired before the age of two in children , especially the malignant tumor.The primarily testiclular tumors always invasion the half without selectivity.2. The medical examination was of great value to the diagnosis of primarily testiclular tumors,and which includ of texture, surface property, tenderness,bearing down, transillumination test .3. serum AFP examination,ultrasonograph, X-ray examination of scrotum were of great value to the diagnosis of primarily testiclular tumors.4. To reduce misdiagnosis and prevent incorrect treatment.doctors should improve understanding of testiclular tumors in children,Detailed physical examination,ultrasonography ,serum AFP examination,and X-ray examination of scrotum were of great value to the diagnosis.. 5. Diagnostic puncture was not suitable to these patients of primarily testiclular tumors.6. Frozen Section was of great value to the diagnosis and make the chioce of surgical therapy.