Diagnostic-therapeutic pathway for small lesions of the testis

  • Giulia Sbrollini | giuliasbrollini@libero.it Division of Urology, “Augusto Murri” Hospital, ASUR Marche, Fermo; Institute of Urology, Polytechnic University of the Marche Region, United Hospitals, Ancona, Italy.
  • 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.

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.

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Published
2014-12-30
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Section
Short Communications - Andrology
Keywords:
Small masses, Testis neoplasms, Partial orchiectomy, Ultrasound, Pathology
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How to Cite
Sbrollini, G., Mazzaferro, D., Ettamimi, A., Montironi, R., Cordari, M., Maselli, G., Tucci, G., Donatelli, G., Pellegrinelli, F., Conti, A., & Galosi, A. B. (2014). Diagnostic-therapeutic pathway for small lesions of the testis. Archivio Italiano Di Urologia E Andrologia, 86(4), 397-399. https://doi.org/10.4081/aiua.2014.4.397