Management of Primary Testicular Tumor

Alireza Ghoreifi; Hooman Djaladat

doi:10.1016/j.ucl.2019.04.006

Management of Primary Testicular Tumor

Urol Clin North Am. 2019 Aug;46(3):333-339. doi: 10.1016/j.ucl.2019.04.006.

Authors

Alireza Ghoreifi¹, Hooman Djaladat²

Affiliations

¹ Institute of Urology, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA.
² Institute of Urology, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA. Electronic address: djaladat@usc.edu.

PMID: 31277728
DOI: 10.1016/j.ucl.2019.04.006

Abstract

In any man with a solid testicular mass, cancer should be considered until proven otherwise. Radical inguinal orchiectomy is the treatment of choice in patients with testis mass. Placement of a testicular prosthesis is safe with a very low complication rate and should be offered to all patients undergoing radical orchiectomy. In patients with widespread or life-threatening advanced disease, delayed orchiectomy following chemotherapy is recommended. Testis-sparing surgery can be performed in highly selected patients with solitary testicle mass, bilateral testicular tumors, or strong suspicion of a benign lesion.

Keywords: Orchiectomy; Organ-sparing surgery; Prosthesis; Testicular tumor; Treatment.

Publication types

Review

MeSH terms

Humans
Male
Orchiectomy
Organ Sparing Treatments
Prostheses and Implants
Testicular Neoplasms / drug therapy
Testicular Neoplasms / pathology
Testicular Neoplasms / surgery*