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Las características clínicas y opciones de tratamiento de los quistes epidermoides intratesticulares / The clinical features and treatment options of intratesticular epidermoid cysts
Topuz, Bahadır; Coğuplugil, Adem Emrah; Yılmaz, Sercan; Sarıkaya, Selçuk; Zor, Murat; Uğuz, Sami; Kaya , Engin; Bedir, Selahattin.
Afiliação
  • Topuz, Bahadır; Gulhane Training and Research Hospital. Department of Urology. Ankara. Turkey
  • Coğuplugil, Adem Emrah; Gulhane Training and Research Hospital. Department of Urology. Ankara. Turkey
  • Yılmaz, Sercan; Bor State Hospital. Department of Urology. Niğde. Turkey
  • Sarıkaya, Selçuk; Gulhane Training and Research Hospital. Department of Urology. Ankara. Turkey
  • Zor, Murat; Gulhane Training and Research Hospital. Department of Urology. Ankara. Turkey
  • Uğuz, Sami; Gulhane Training and Research Hospital. Department of Urology. Ankara. Turkey
  • Kaya , Engin; Gulhane Training and Research Hospital. Department of Urology. Ankara. Turkey
  • Bedir, Selahattin; Gulhane Training and Research Hospital. Department of Urology. Ankara. Turkey
Arch. esp. urol. (Ed. impr.) ; 73(2): 126-131, mar. 2020. ilus, tab, graf
Article em Es | IBECS | ID: ibc-192907
Biblioteca responsável: ES1.1
Localização: BNCS
RESUMEN
OBJETIVOS: En este estudio, nuestro objetivofue definir los datos clínico-radiológicos y las opciones de tratamiento de los quistes epidermoides intratesticulares (CEI). MATERIALES Y MÉTODOS: Revisamos retrospectivamente los registros médicos de los pacientes que se sometieron a cirugía para la masa testicular entre 1995 y 2017. Entre ellos se registraron los datos de los pacientes cuya evaluación histopatológica reveló IEC. RESULTADOS: Se identificaron un total de 20 pacientes con IEC. Mientras que tres de los 20 pacientes fueron excluidos debido a los datos incompletos, los 17pacientes restantes con IEC patológicamente probada se revisaron y analizaron en el estudio. La edad media de los pacientes fue de 22,2 años (rango, 17-29años). A todos los pacientes se les presentó hinchazón y/o masa testicular indolora. Los marcadores tumorales séricos de todos los pacientes estaban dentro de los rangos. Cuatro pacientes tratados con orquiectomía radical (23,5%), mientras que 13 pacientes se sometieron a orquiectomía parcial (76,5%). El tamaño medio de la IEC fue de 17,7 x 15,1 mm (rango, 26 x 10 mm). Los IEC se encontraban principalmente en el polo medio de los testículos (10 de 17 pacientes, 58,8%). CONCLUSIONES: Este estudio está diseñado de forma retrospectiva, pero la población de pacientes es una de las más numerosas que se han publicado en la literatura. Según nuestro estudio, podemos afirmar fácilmente que la orquiectomía parcial se puede realizar de manera segura después de la FSA en pacientes que tienen CEI
ABSTRACT
OBJECTIVES: In this study, we aimed to define the clinico-radiological data and treatment options for intratesticular epidermoid cysts (IEC). MATERIALS AND METHODS: We retrospectively reviewed the medical records of the patients that under went surgery for testicular mass between 1995 and 2017. Data of the patients whose histopathological evaluation revealed IEC were recorded. RESULTS: A total of 20 patients with IEC were identified.While three of 20 patients were excluded due to incomplete data, the remaining 17 patients with pathologically proven IEC were reviewed and analyzed in the study. The mean patient age was 22.2 years (range, 17-29 years). All patients were presented with painless testicular swelling and/or mass. Serum tumor markers of all patients were within the ranges. Four patients treated with radical orchiectomy (23.5%), while 13 patients under went partial orchiectomy (76.5%). The mean size ofthe IEC was 17.7 x 15.1 mm (range, 26 x 10 mm). IEC swere mostly located in the middle pole of the testes (10of 17 patients, 58.8%). CONCLUSIONS: This study is designed in retrospective nature, but the patient population is one the largest reported in the literature. According to our study, we can easily state that partial orchiectomy can be performed safely after FSA in patients that have IECs
Assuntos
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Coleções: 06-national / ES Base de dados: IBECS Assunto principal: Doenças Testiculares / Orquiectomia / Cisto Epidérmico Limite: Humans / Male Idioma: Es Revista: Arch. esp. urol. (Ed. impr.) Ano de publicação: 2020 Tipo de documento: Article
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Coleções: 06-national / ES Base de dados: IBECS Assunto principal: Doenças Testiculares / Orquiectomia / Cisto Epidérmico Limite: Humans / Male Idioma: Es Revista: Arch. esp. urol. (Ed. impr.) Ano de publicação: 2020 Tipo de documento: Article