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Testicular Tumours

Altaf Hussain Talpur, Abdul Sattar Memon, Jan Muhammad Memon, Rukhsana Memon, Mohammad Ali Memon.

Abstract
OBJECTIVE: To assess presentation and pattern of Testicular Tumors at Liaquat University Hospital Jamshoro / Hyderabad. DESIGN: This descriptive study was conducted at surgical unit one of Liaquat University Hospital Jamshoro / Hyderabad with collaboration of Atomic Energy Medial Centre Jamshoro from January 1993 to December 1995. PATIENTS AND METHODS: The patients were evaluated on especially prepared proforma by taking history, examination and carrying out relevant investigations. All patients after surgical procedure and proper diagnosis were referred to Atomic Energy Medical Centre for further management. RESULTS: Seventy - two cases of Testicular tumors were dealt with during study period. Majority of patients (83.33%) belonged to rural areas with highest incidence in 3rd, 4th and 5th decades (76.38%) of their life. Right testis was involved relatively in more cases (55.55%) than the left and all patients presented with mass either involving testes or abdomen as main clinical feature. Orchidectomy for descended testes and laparotomy for undescended testes were performed. Seminoma (66.11%) and Teratoma (29.16%) were main types of testicular tumor confirmed on histopathology. Post-operatively, 67 patients received radiotherapy or chemotherapy or both and were followed up for 5 years. Only 3 cases (4.47%) were alive after 5 years showing poor prognosis. CONCLUSION: Testicular tumors affect mainly young population during their reproductive age and have poor prognosis in our set up as compared to developed countries.

Key words: Testicular Neoplasms. Neoplasms, Germ Cell and Embryonal. Seminoma. Leydig Cell Tumor. Germinoma. Orchiectomy. Teratoma. Hospitals, University. Dysgerminoma.


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