Management of nonpalpable testicular tumors

Yefim R. Sheynkin, Troy Sukkarieh, Michael Lipke, Harris Cohen, David A. Schulsinger

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Objectives To report our series of nonpalpable testicular tumors with a review of published studies. Radical orchiectomy remains the reference standard in the treatment of a solid testicular mass. Testis-sparing surgery has recently been advocated for a select group of patients with nonpalpable tumors. Methods Between 1998 and 2002, a nonpalpable testicular mass was discovered in 9 patients. Ultrasonography was performed for infertility evaluation (5 patients), testicular pain (3 patients), and retroperitoneal lymphadenopathy (1 patient). Results Radical orchiectomy was performed in 7 of 9 patients and testis-sparing surgery with microsurgical excision of tumor in 1 patient. One patient decided against surgery. A benign testicular tumor was found in 6 and a malignant tumor in 2 of the 8 patients. Conclusions A high incidence of benign nonpalpable tumor and an advanced microsurgical technique justifies organ-sparing surgery as an alternative for radical orchiectomy in a select group of patients. Testicular preservation in patients with a malignant nonpalpable testicular tumor is a feasible, but still controversial, approach.

Original languageEnglish (US)
Pages (from-to)1163-1167
Number of pages5
JournalUrology
Volume63
Issue number6
DOIs
StatePublished - Jan 1 2004
Externally publishedYes

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Testicular Neoplasms
Orchiectomy
Testis
Neoplasms
Infertility
Ultrasonography

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Sheynkin, Y. R., Sukkarieh, T., Lipke, M., Cohen, H., & Schulsinger, D. A. (2004). Management of nonpalpable testicular tumors. Urology, 63(6), 1163-1167. https://doi.org/10.1016/j.urology.2003.12.054

Management of nonpalpable testicular tumors. / Sheynkin, Yefim R.; Sukkarieh, Troy; Lipke, Michael; Cohen, Harris; Schulsinger, David A.

In: Urology, Vol. 63, No. 6, 01.01.2004, p. 1163-1167.

Research output: Contribution to journalArticle

Sheynkin, YR, Sukkarieh, T, Lipke, M, Cohen, H & Schulsinger, DA 2004, 'Management of nonpalpable testicular tumors', Urology, vol. 63, no. 6, pp. 1163-1167. https://doi.org/10.1016/j.urology.2003.12.054
Sheynkin YR, Sukkarieh T, Lipke M, Cohen H, Schulsinger DA. Management of nonpalpable testicular tumors. Urology. 2004 Jan 1;63(6):1163-1167. https://doi.org/10.1016/j.urology.2003.12.054
Sheynkin, Yefim R. ; Sukkarieh, Troy ; Lipke, Michael ; Cohen, Harris ; Schulsinger, David A. / Management of nonpalpable testicular tumors. In: Urology. 2004 ; Vol. 63, No. 6. pp. 1163-1167.
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