Testicular tumors in children
Oncology / / August 12, 2017
testicular tumors occur in children at an early age.They are often found already at birth or in the first year of life.Defeat with primary testicular tumors always unilateral, unlike those, such as leukemia.The first sign of tumors both benign and malignant is to increase egg.In infants the tumor rarely attains a large size, because it is usually the parents early notice when bathing or changing your child.In older children, who feel free to contact the parents and the doctor is not so rare, this increase reaches a considerable size before it is diagnosed.Usually the tumor is taken as hydrocele and often so do not go to the doctor - the child lives for a long time with this new formation.By the time he gets to the oncologist, tumor formation is where the egg is sometimes not detected.The tumor usually grows slowly, sometimes for several months, and may be associated with hydrocele and spermatic cord.Common symptoms are not pronounced, metastasis occurs rarely and late.Only in advanced
Diagnosis Diagnosis is mainly in the differential-diagnostic plan.Mainly by increasing the egg has to distinguish between the increase: there is swelling or hydrocele.A great help here is the translucence of transmitted light in scrotum (transillumination).When hydrocele visible light pink, in the lower part of the scrotum with your fingers when pressing seen bluish backlighting.Testicular tumor in transmission opaque (as hernia).It should be remembered that when the percussion sound over the tumor dull and hernia - tympanic.For the diagnosis of tumors of the testes using a reaction-Abelian Tatarinov, which is positive for the majority of testicular tumors in children and also allows you to evaluate the effect of treatment, the time to establish a recurrence of the tumor.If you suspect a tumor of the testis in all cases before surgery produces fine needle diagnostic puncture with subsequent histological examination.
main type of treatment of testicular tumors in children is surgery - removal of the testicle with high ligation of the spermatic cord.The operation is not one of the complex, however, it becomes much more difficult when a suspected lesion of retroperitoneal lymph nodes need to be removed.Radiotherapy inguinal, pelvic and para-aortic lymph node metastases can stop the growth.
After surgery requires careful toilet groin and perineum to avoid contamination of the wound and make it an infection.In a particular mode of patients with testicular cancer do not need.