Resumo

DIZ RODRIGUEZ, R. et al. Testicular neoplasms: Evaluation of the experience during 25 years in a military hospital. Actas Urol Esp [online]. 2005, vol.29, n.5, pp.457-464. ISSN 0210-4806.

Objetives: The testicular tumors are frequent in the young adult, coinciding with the incorporation to the Military Service. The objective of our work is to evaluate the tumoral characteristic, its evolution with the time and the result of the treatments used in our center for this type of tumors. Material and methods: We carried out a retrospective longitudinal study in a cohort of 98 patients with an average age of 28,6 years, subjected to orchiectomy for testicular tumor in our center between 1979 to 2004. In the study, we collected data referred to the age of the patients, the tumoral characteristic, the outcome of the treatment and the evolution of the tumor. Results: In 61% of the cases, the affected testicle was the right (significant differences). The most common histologyc type was the non seminomatous germ cell tumors (NSGCT) (65,3%). Followed by the pure seminomas (27,6%), and non germinal cell tumors (NGC) (7,1%). The NSGCT was diagnosed to a average age (23,2 years) significantly smaller that the other two types. The stage I was the most frequent (58%). The seminomas presented a stage I in a significantly bigger frequency (80%) that the others tumors. The data picked up during the 25 years didn’t show a significant variation regarding the tumoral characteristic. The survival análisis indicated that the tumoral characteristic with better pronostic regarding the probability of tumoral recurrences were the seminomas and the tumoral stages I and II. Conclusions: The non seminomatous germ cell tumors (NSGCT) are the most frequent testicular tumors in young adults. Most of the tumors are diagnosed in initial stages, and their pronostic is better in the case of the seminomas and in the stages I and II.

Palavras-chave : Testicular tumors; Pronostic factors; Treatment; Survical análisis.

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