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Diagnostic-therapeutic pathway for small lesions of the testis
Giulia Sbrollini, Daniele Mazzaferro, Asim Ettamimi, Rodolfo Montironi, Marco Cordari, Guevar Maselli, Giacomo Tucci, Gaetano Donatelli, Francesco Pellegrinelli, Alessandro Conti, Andrea Benedetto Galosi
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- Giulia Sbrollini
Division of Urology, “Augusto Murri” Hospital, ASUR Marche, Fermo; Institute of Urology, Polytechnic University of the Marche Region, United Hospitals, Ancona, Italy
| giuliasbrollini@libero.it
- Daniele Mazzaferro
Division of Urology, “Augusto Murri” Hospital, ASUR Marche, Fermo, Italy
- Asim Ettamimi
Division of Urology, “Augusto Murri” Hospital, ASUR Marche, Fermo, Italy
- Rodolfo Montironi
Institute of Pathology, Polytechnic University of the Marche Region, United Hospitals, Ancona, Italy
- Marco Cordari
Division of Urology, “Augusto Murri” Hospital, ASUR Marche, Fermo, Italy
- Guevar Maselli
Division of Urology, “Augusto Murri” Hospital, ASUR Marche, Fermo, Italy
- Giacomo Tucci
Division of Urology, “Augusto Murri” Hospital, ASUR Marche, Fermo, Italy
- Gaetano Donatelli
Division of Urology, “Augusto Murri” Hospital, ASUR Marche, Fermo, Italy
- Francesco Pellegrinelli
Division of Urology, “Augusto Murri” Hospital, ASUR Marche, Fermo; Institute of Urology, Polytechnic University of the Marche Region, United Hospitals, Ancona, Italy
- Alessandro Conti
Division of Urology, “Augusto Murri” Hospital, ASUR Marche, Fermo; Institute of Urology, Polytechnic University of the Marche Region, United Hospitals, Ancona, Italy
- Andrea Benedetto Galosi
Division of Urology, “Augusto Murri” Hospital, ASUR Marche, Fermo, Italy
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Abstract
Objective of our study was to define a diagnostic-therapeutic pathway for proper treatment of not-palpable testicular masses, that may be benign in 38% of cases. Since the intraoperative diagnosis is difficult to reach in particular in small lesion (< 8 mm) and the risk of tissue loss in frozen section analysis occurs frequently, we propose a diagnostic flow chart for the best management of small testis lesions. This proposed protocol has to be shown in details to physicians and patients, who must understand the clinical implications and the risk to undergo a second radical surgery.
Keywords
Small masses; Testis neoplasms; Partial orchiectomy; Ultrasound; Pathology
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