Clinical-histopathological Features of Paratesticular Masses and Factors Affecting Survival: Single Center Experience
Journal Title: Bezmiâlem Science - Year 2020, Vol 8, Issue 1
Abstract
Objective: As paratesticular masses constitute 2-3% of all scrotal and inguinal masses, published cases in the literature are limited. We aimed to present our experiences of nine cases which we have treated and followed up in our department. Methods: Between January 2013 and February 2017, we retrospectively analyzed the data of nine patients with paratesticular mass in our department. Results: Seven (77.8%) patients presented with scrotal mass or swelling, while two (22.2%) patients had swelling in the inguinal region. Histological types of malign tumors were rhabdomyosarcoma [(RMS), 2 cases, 22.3%)], liposarcoma [(LPS), 1 case, 11.1%)], leiomyosarcoma [(LMS), 1 case, 11.1%)] and malignant fibrous histiocytoma [(MFH), 1 case,11.1%)]. Bening tumors were fibroma (1 case, 11.1%), adenomatoid tumor (1 case, 11.1%), cystadenoma (1 case, 11.1%) and inflammatory myofibroblastic tumor (1 case, 11.1%). During median 23.5 (4-62) months of follow-up of paratesticular sarcomas, the rates of recurrence-free and progressionfree survival were 60%, overall survival rate was 60%. LMS and MFH had poor prognosis. No recurrence or progression was observed in the follow-up of LPS and RMS. Among them, LPS had the best prognosis.The disease-free survival was 100% at the median 49 (36-64) months follow-up of four benign masses without any need for adjuvant treatment. According to FNCLCC Classification, times of local recurrence-free survival and overall survival in grade II sarcomas were significantly higher than those with grade III (p=0.039). Conclusion: It is difficult to differentiate clinically benign paratesticular masses from sarcomas. LPS has better prognosis and high-grade sarcomas have poor prognosis. If adjuvant treatments are not added, local recurrence or progression may be observed in a short time.
Authors and Affiliations
İsmail SELVİ, Halil BAŞAR
Keywords
Related Articles
- EP ID EP684474
- DOI 10.14235/bas.galenos.2019.2993
- Views 163
- Downloads 0
Abdominal Paragangliomas: A Single Center Experience
Objective: Paragangliomas are rare tumors arising from extra-adrenal chromaffin tissue, which are widely distributed near or within the autonomic nervous system in the retroperitoneal sites and in the sympathetic ganglia...
The Effects of Lucilia sericata Larval Secretions on The Expressions of MicroRNAs that are Suggested to be Related with Wound Healing in Experimental Diabetic Rat Wound Model
Objective: Normal wound healing is achieved by a cascade of many cellular activities. This process is affected by some of the metabolic diseases like Diabetes Mellitus (DM). DM causes bad prognosis and is one of the majo...
Anxiety, Depression and Health Profile in Mothers with Children in the Pediatric Intensive Care Unit
Objective: The aim of this study was to investigate, anxiety, depression and health profile among mothers of patients at pediatric intensive care unit (PICU) and pediatric inpatient service (PIS). Methods: The sample co...
Investigation of Foot Pressure Distribution in Asymptomatic İndividuals with Mild Hallux Valgus
Objective: The purpose of the present study was to investigate plantar pressure distribution during static standing in asymptomatic individuals with mild hallux valgus and to compare the results with healthy controls gro...
Validation and Reliability of the Turkish Premenstrual Coping Measure
Objective: The aim of this study is to evaluate the Turkish validity and reliability of the premenstrual coping measure (PCM) among university students. Methods: The universe of this methodological study consisted of 36...