RESUMO
OBJECTIVES: To analyze the frequency, clinical and therapeutical aspects of paratesticular tumors encountered in Universiatry Teaching Hospital Ravoahangy-Andrianavalona. METHODS: This a retrospective study carried out on 12 patients with paratesticular tumor seen in UTH Ravoahangy-Andrianavalona between January 1997 and December 2007. Studied parameters were: age, discovery circumstances, primitive or secondary character of the tumor, histological type and their surgical management. RESULTS: Twelve paratesticular tumors have been recorded amongst 1380 patients admitted for an urogenital tumor with a prevalence of 0.86% which represents one case per year. Middle age is 52 years (ranged from 6 to 68 years). Discovery circumstances were as follows: scrotal tumor in 75% of the cases (nine patients) and inguinofunicular tumor in 25% of the cases (three patients). Many histological types of tumors have been encountered: four cases of rhabdomyosarcoma (33.33%), one case of liposarcoma (8.33%), two cases of adenocarcinoma (16.66%), two cases of fibromas (16.66%) and three cases of leiomyoma (25%). Tumors were primitive in 10 patients (83.33%) and metastatic in two cases (16.66%). The surgical management were: large orchidectomy by high inguinal incision with lymphadenectomy in four cases; large orchidectomy by high inguinal incision without lymphadenectomy in four cases; large orchidectomy by high inguinal incision with hemiscrotectomy in one case; simple tumorectomy in three cases. CONCLUSION: Paratesticular tumors are rare and polymorphous. Clinical presentation is variable and the diagnosis is often delayed. Treatment is essentially surgical. Our study illustrates large histopathological variety of paratesticular tumor.
