OBJECTIVES: To review our 10-year experience with uncommon @entity5 in @entity1 (prepubertal testicular and paratesticular), to review previous reports, and to determine the appropriate management of these rare @entity5 , specifically the role of testicular-sparing surgery. @entity1 AND METHODS: We retrospectively reviewed all cases of @entity5 managed at our institution between 1999 and 2009. @entity1 aged <16  years were included in the study. The @entity1 ' characteristics, presentation, the diagnostic tools, @entity5 markers, mode of treatment, pathological findings and outcome were assessed. We reviewed previous reports that addressed testicular and @entity5 in prepubertal @entity1 , using a Medline/PubMed search. RESULTS: From 80 @entity1 , 13 @entity1 (median age 8.7  years) presented with @entity5 (16%) and were included in the study. Two @entity1 presented with precocious puberty and one with gynaecomastia. The level of a-fetoprotein was high in three @entity1 , and the @entity1 chorionic gonadotrophin level was elevated in one, and both markers were high in one. Testicular-sparing surgery was performed in three @entity1 . Six of the 13 @entity5 were malignant and seven were benign. None of the @entity1 developed a recurrence or @entity194 after testicular-sparing surgery. From the review of previous reports we devised an evidence-based algorithm for managing prepubertal @entity5 . CONCLUSIONS: Paediatric @entity5 are rare but they require an inguinal approach for either orchidectomy or testicular-sparing surgery; we recommend the latter option as long as frozen sections are analysed and a safety margin is maintained.

XXXX : Should testicular-sparing surgery be considered? A single-institution experience and review of the literature.

@entity5 :: ('MESH:D009369', 'Disease') :: ['paratesticular tumours', 'testicular tumours', 'tumours', 'tumour'] @entity1 :: ('9606', 'Species') :: ['children', 'Boys', 'human', 'patients', 'PATIENTS', 'boys'] @entity194 :: ('MESH:D001284', 'Disease') :: ['testicular atrophy']
@entity5 :: (MESH:D009369,Disease) :: ['Prepubertal testicular tumours']
