A Surgical Case of Testicular Sparing
A 12-year-old boy was diagnosed with right scrotal swelling for about 10 days, although painless with no apparent history of associated trauma. His parents had consulted a local healthcare facility where he was diagnosed with cystic lesion of the right testis. On further investigation throughultrasound,hewasadvisedremoval ofthe testis (Orchidectomy).
On clinical examination at BLK, the child was diagnosed with solidcystic mass over the lower pole of the right testis which was non tender. Ultrasound test suggested an enlarged right testis and a well-defined heterogeneous solid cystic lesion of dimension 3.5 cm by 3 cm involving the mid and lower pole of the testis indicative of neoplastic germ cell tumour. On exploration, the tumour was identified over the mid and lower pole of the testis. The frozen section biopsy was indicative of benign nature of the tumour and so Testicular Sparing surgery was performed preserving one third of the testis. The final biopsy report was suggestive of benign germ cell tumour. In view of these findings the patient was further investigated to rule out the possibility of malignant neoplasm. Normal tumour markers ruled out the possibility of malignancy.
The boy is now out of danger and on the road to recovery. The biggest relief for us and the boy was that we did not have to remove his testicle.