Document Detail

Radical orchidectomy and benign testicular conditions.
MedLine Citation:
PMID:  7796004     Owner:  NLM     Status:  MEDLINE    
The records of 149 patients who underwent testicular exploration for suspected malignancy were reviewed retrospectively. Malignancy was confirmed in 102 patients but benign pathology was noted in 47. Patients with benign disease were older, more likely to be Asian, gave a longer history and on examination were less likely to have a testicular mass. Increased levels of tumour markers, and ultrasonographic and operative appearance of the testis were highly predictive; with ultrasonography having a sensitivity of 100 per cent but a specificity of only 36 per cent for malignancy. Preoperative ultrasonography and an awareness of the potentially benign nature of many lesions with the use of frozen-section biopsy, where appropriate, may allow a decrease in the currently high rate of unnecessary orchidectomy without missing testicular malignancy.
G S Robertson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  82     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1995 Mar 
Date Detail:
Created Date:  1995-07-31     Completed Date:  1995-07-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  342-5     Citation Subset:  AIM; IM    
Department of Surgery, Leicester Royal Infirmary, UK.
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MeSH Terms
Middle Aged
Retrospective Studies
Sensitivity and Specificity
Testicular Diseases / surgery*,  ultrasonography
Testicular Neoplasms / surgery,  ultrasonography

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