Four years of experience in the management of testicular germ cell tumors at a Urology department of Health Center Vranje
2013
Objectives: The aim of this paper is to performed a retrospective descriptive
study between the years 2009 and 2013 analyzing 24 patients treated for
testicular cancer at a Urology department of Health Center Vranje, including
in the analysis tumor incidence, the patient’s age, patient’s time before
treatment, histological type and their typical characteristics, oncological
treatment, tumor progression and mortality rate. There were 13 rights sided
and 11 left sided tumor presented and all of them unilateral. The average age
of the patients was 36 years old in the group of patients with seminoma, 28
years old with mixed tumors, 26 years old average with embryonal carcinoma.
One patient presented himself with fibrous histiocytoma was 14 year old and
one patient with laydig cell tumor was 65 years old in the time of diagnosis.
Two patients who were diagnosed with testicular lymphoma were 69 year old in
average. Hystopathological findings revealed: 11 cases of seminoma, 5 cases
of mixed cell tumors, 4 cases with embryonal carcinoma, 2 case with non
Hodgkin’s lymphoma and one case of laydig cell tumor and one case of fibrous
histiocytoma. The entire patient underwent standard chemo therapy with cis
platinum for testicular cancer. One of the patients with mixed tumor
underwent RPLND (retroperitoneal lymph node dissection) but soon died after
administration of chemotherapy - PEB (cisplatin, etoposide and bleomycin).
All of the patient, except the four of them with who we lost contact and the
one deceased are decease free and attend regular follow ups to this day.
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