Testicular Fibro- Sarcoma in Pediatric Patient
Volume 4 - Issue 2
Amani Saleh Hadi Saeed*
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- 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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Abstract
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
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