Abstract | PURPOSE: MATERIALS AND METHODS: RESULTS: Postoperative MRI of the testis in 2 of 3 patients showed no evidence of recurrent tumor. Postoperative testicular sonography revealed no tumor and vascular flow in 2 of 3 patients. All 3 patients who underwent testis sparing surgery have a viable testis in the scrotum without evidence of recurrent disease. CONCLUSIONS: MRI of the testis in patients with testicular tumors of the adrenogenital syndrome accurately defines the extent of disease. Surgical enucleation of this tumor has been performed successfully without recurrent disease. This surgical approach should be considered for any patient with a steroid unresponsive tumor and contralateral abnormalities. We believe that surgical enucleation is the procedure of choice for all patients with this tumor, since it maximizes future fertility potential.
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Authors | B R Walker, S J Skoog, B H Winslow, D A Canning, E S Tank |
Journal | The Journal of urology
(J Urol)
Vol. 157
Issue 4
Pg. 1460-3
(Apr 1997)
ISSN: 0022-5347 [Print] United States |
PMID | 9120982
(Publication Type: Clinical Trial, Journal Article)
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Chemical References |
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Topics |
- Adolescent
- Adrenal Hyperplasia, Congenital
(complications)
- Child
- Child, Preschool
- Follow-Up Studies
- Humans
- Magnetic Resonance Imaging
- Male
- Steroids
(therapeutic use)
- Surgical Procedures, Operative
(methods)
- Testicular Neoplasms
(drug therapy, pathology, surgery)
- Treatment Failure
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