MP40-11 MANAGEMENT OF INDETERMINATE SMALL TESTIS MASSES (STMS): A 10-YEAR SINGLE CENTRE EXPERIENCE

You have accessJournal of UrologyPenile & Testicular Cancer I (MP40)1 Sep 2021MP40-11 MANAGEMENT OF INDETERMINATE SMALL TESTIS MASSES (STMS): A 10-YEAR SINGLE CENTRE EXPERIENCE Shafiullah Wardak, Jamie Lindsay, Fabio Castiglione, Constantine Alifrangis, Miles Walkden, Paul Hadway, Rowland Rees, Raj Nigam, Hussain Alnajjar, and Asif Muneer WardakShafiullah Wardak More articles by this author , LindsayJamie Lindsay CastiglioneFabio Castiglione AlifrangisConstantine Alifrangis WalkdenMiles Walkden HadwayPaul Hadway ReesRowland Rees NigamRaj Nigam AlnajjarHussain Alnajjar MuneerAsif View All Author Informationhttps://doi.org/10.1097/JU.0000000000002055.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Currently there is no standardised pathway for the management indeterminate STMs. We analysed outcomes including STM biopsy surveillance outcomes. This data was used propose a STMs avoid unnecessary radical orchidectomy. METHODS: retrospective analysis all ≤2 cm over 10-year period from single centre performed. Each case discussed at specialist Testis MDT. Parameters included lesion size multifocality, sonographic characteristics, imaging interval excisional RESULTS: total 307 patients with median age 36 years (range: 14-85) 6mm 1.5-20) were in analysis. In cohort, 62 (20%) had orchidectomy, 161 (52%) underwent serial USS, 82 (27%) USS-guided testicular 1% discharged reassurance advice self examination. The 3 months 0-12). number scans 1-10) time 6 0-24). 91 (56.5%) eventually none represented malignancy during study period. 37 (23%) still under 33 (20.5%) proceeded which 9 showed or ITGCN, 7 seminomas. gives rate 5.6% surveillance. 115 (37.5%) cohort 30 (26%) histological diagnosis malignancy, majority remainder benign lesions 34% Leydig cell tumours. overall 30/307 (10%). CONCLUSIONS: shows that only 10% are malignant therefore these should not be subjected Our small testis USS safe effective. Surveillance avoids orchidectomy whilst it ensures change biopsied early.This has important implications relating preservation fertility hormonal function. recommend reviewed MDT review characteristics before considering surgical intervention ensure preservation. Source Funding: None © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e718-e718 Advertisement Copyright Permissions© Inc.MetricsAuthor Information Expand Loading ...