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Objective: To investigate different treatment methods for stage-Is testicular mixed germ cell tumors (TMGCTs).
Methods: We retrospectively analyzed the clinical data about 3'cases of stage-Is TMGCTs (aged 26-39 years) treated in the 175th Hospital of PLA, reviewed relevant literature, and explored the clinical characteristics of TMGCTs.
Results: Of the 3 patients, 1 was treated by radical orchiectomy, 1 by radical orchiectomy + retroperitoneal lymph node dissection + BEP chemotherapy scheme, and the other by radical orchiectomy + radiotherapy. The pathological components of TMGCTs were immature teratoma, seminoma, spermatocytoma, chorioepithelioma, embryonal carcinoma, and yolk sac tumor. No recurrence or distant metastasis was found during the 24-month follow-up after surgery.
Conclusion: The diagnosis of TMGCTs primarily depends on physical examination, ultrasonography, MRI, and measurement of serum tumor markers, while its confirmation necessitates pathological examination, and its treatment is basically radical orchiectomy.
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Objectives: To comprehensively review the literature on paratesticular tumors and to develop a new management algorithm.
Methods: A systematic review was conducted from 1980 to 2024 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A search was performed on PUBMED to identify studies investigating paratesticular tumors, limited to cases >16 years of age.
Front Pharmacol
August 2025
Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Spermatocytic tumor (ST) is an exceedingly rare testicular neoplasm with non-specific clinical presentations, requiring histopathological confirmation for diagnosis. Radical orchiectomy remains the cornerstone of treatment, achieving favorable outcomes in most cases. However, early metastasis observed in some patients emphasizes the necessity of comprehensive systemic staging at diagnosis and rigorous postoperative surveillance.
View Article and Find Full Text PDFEur Urol Open Sci
September 2025
Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Background And Objective: Delayed orchiectomy is generally recommended for patients who receive upfront chemotherapy for advanced testicular germ cell tumors (TGCTs). However, the risk of residual disease in the primary tumor and the relationship this has on oncologic outcomes are unclear. We aimed to understand the histopathologic and oncologic outcomes of patients undergoing delayed orchiectomy.
View Article and Find Full Text PDFRev Med Inst Mex Seguro Soc
August 2025
Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Oncología, Servicio de Urología Oncológica. Ciudad de México, México.
Background: Primary testicular lymphoma is a rare disease that usually occurs in men over 50 years of age. It is considered a highly aggressive disease with a poor prognosis due to the high rate of relapse in different extranodal sites. In this report, we present a case of primary testicular lymphoma with extranodal involvement in the stomach.
View Article and Find Full Text PDFBMJ Case Rep
August 2025
Division of Medical Oncology, Department of Medicine, Duke University, Durham, North Carolina, USA.
A male in his 40s presented with a 3-day history of progressive difficulty with ambulation and speech. Physical examination was notable for dysmetria, horizontal and vertical nystagmus and dysdiadochokinesis. The MRI of the brain was unrevealing.
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