Excerpt
Testicular cancer is the most common cancer amongst young adult men. The gold standard of treatment for a testicular tumor is a radical orchidectomy, where the testis and spermatic cord are removed, however up to 50% of testicular pathology is benign and these patients are being overtreated. Organ-sparing surgery can be an alternative for patients with small, indeterminate testicular lesions and normal tumor markers. It can also be considered as an option for patients with tumors in a solitary testis, or where bilateral tumors are present. Combined with frozen section examination, tumors can safely be removed, and any residual disease identified intraoperatively. Organ-sparing surgery has safe oncological outcomes, with low recurrence rates on follow up data. It also provides a beneficial effect on the fertility and the hormonal profile of these patients. As these patients have a >95% survival rate, providing a high quality of life should be prioritized.
Sections
- INTRODUCTION
- PATIENT ELIGIBILITY
- SURGICAL PROCEDURE
- OUTCOMES OF ORGAN-SPARING SURGERY
- CONCLUSION
- REFERENCES
0000 [Epub]
Lily Whitehurst, Andrew Chetwood
Department of Urology, University Hospitals Sussex, Princess Royal Hospital, Haywards Heath, UK, Department of Urology, Frimley Park Hospital, Frimley Park NHS Trust, Camberley, UK