Histopathological Outcome of Testicular Lesions at PIMS

Abstract

Objective: This study was undertaken to determine the incidence, Age wise distribution and Histopathological outcome of the testicular lesion at Pakistan Institute of Medical Sciences Islamabad.
Methodology: A retrospective study of 69 patients in which orchiectomies was done for testicular lesion from January 2013 to March 2016 at Department of Urology Pakistan Institute of Medical Sciences, Islamabad. The epidemiological data were retrieved from case files and histopathological reports. Data was analyzed in respect of side involvement, age and histological type of tumors.
Results: A total of 69 patients included in the study, of which 49(71.01%) were Non-neoplastic and 20(28.98%) were neoplastic lesions. Among Non- neoplastic lesions 24(48.98%) were undescended testis, 24(48.98%) were torsion and 1(2.04%) were an abscess. A maximum number of cases were diagnosed in the second decade of life (30.62%), left side involvement (59.18%) was common then right side involvement (40.82%).Among neoplastic lesions 40% were Yolk sac tumors,30% were Mixed germ cell tumors,20% were seminoma, 5% were teratoma and 5 % were B-cell lymphoma. Most of the cases were diagnosed in the third decade of life (45%), Right side involvement (70%) was more common than left side involvement (30%).
Conclusion: Testicular tumors is still common in our population, but in our study, there is no evidence of malignancy in the undescended testis.