Shyam Bihari Sharma1
BACKGROUND
Paediatric testicular tumours are rare and it accounts for 2% of solid malignant neoplasm in boys. Below 2 years of age, it is
very rare and difficult to diagnose.
Since retrospective study may not provide information due to non-availability of records as required, a prospective study
was planned at SMS Medical College and attached SPMCH Institute, Jaipur, from Jan 2009 till April 2012 and continued at
National Institute of Medical Sciences, Jaipur, from May 2012 to December 2015, a 7-year period.
MATERIALS AND METHODS
A proforma was made and kept in OPD and ward and a qualified paediatric surgeon were appointed to fill the form regarding
age, provisional diagnosis, symptomatology, investigations, routine and special like USG, CT, MRI, tumour marker study,
treatment plan, result and followup. Undescended testis and torsion testis were excluded, whereas infants with scrotal swelling
below 2 years of age were included.
RESULTS
Out of 17 patients, one died after 6 months due to relapse in mixed germ cell tumour group, rest all sixteen survived and have
6 to 1 years’ followup. Surgery was done in all cases, whereas 5 cases needed chemotherapy in addition to surgery. Radiotherapy
was not given in any case. Tumour markers like ?-fetoprotein and ?-hCG markedly reduced after orchidectomy.
CONCLUSION
Yolk sac tumour and teratoma all cases responded well to high inguinal orchiectomy, chemotherapy required only in 5 cases.
One case of mixed germ cell tumour have relapse after surgery and chemotherapy and died after 6 months postoperatively.
