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ISSN: 2643-6760

Surgery & Case Studies: Open Access Journal

Case Report(ISSN: 2643-6760)

Testicular Fibro- Sarcoma in Pediatric Patient

Volume 4 - Issue 2

Amani Saleh Hadi Saeed*

  • Author Information Open or Close
    • Specialist of clinical oncology and nuclear medicine, Department of oncology, National oncolgy center-Aden, Yemen

    *Corresponding author: Amani Saleh Hadi Saeed, Department of oncology, National oncolgy center-Aden, Head of womencare unit for breast cancer, yemen

Received: January 12, 2020   Published: January 24, 2020

DOI: 10.32474/SCSOAJ.2020.04.000184

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Sarcoma of the testis are extremely rare tumors, their incidence being difficult to assess accurately. a case of two-year-old male, presented with painless scrotal swelling that increase in size insidiously within three months, send to urology, the examination revealed left testicular swelling –hard, not tender and oval shape. scrotal US, show large mildly hyperechoic mass fat echogenicity seen in the left inguinal canal and scrotum measuring about 84x41x44mm diameters. CT chest and abdomen were normal. Radical orchidectomy was done through an inguinal approach, histopathology showed morphology constant with fibrosarcoma of gonadal stromal origin. After 10 months, noticed reappearance of swelling in the left hemiscrotum.
CT scan abdomen and pelvic showed moderate to gross ascites with cystic lesion in the pelvis on the left side, these findings are highly suggestion a of malignant ascites with possibility of metastatic cystic lesion. excision was done, Histopathology revealed spindle cell sarcoma morphology favor fibrosarcoma of gonadal stromal origin. chemotherapy start for this case with ifosfamide+ doxorubcin protocol one cycle, his condition progress with hug ascites patient died. In conclusion, the recurrence rate of testicular sarcoma is high following radical orchidectomy, prognosis is very poor.

Keywords: Testicular tumor, testicular fibrosarcoma, spindle cells, recurrent testicular sarcoma, prognosis

Abstract| Introduction| Case Report| Discussion| Conclusion| References|