アンドロロジー - オープンアクセス
オープンアクセス

概要

Bilateral Testicular Tumors: Challenges in Diagnosis and Management

Mehmet Ozen*

Testicular cancer is a prevalent form among males aged 15-49 years, with a high five-year relative survival rate of 95%. Bilateral testicular cancers, which make up 1% to 2% of all cases, canmanifest either synchronously or metachronously. Synchronous tumors are identified at the time of diagnosis or within the initialtwo-month period. Organ-sparing surgery, also known as testis-sparing surgery or partial orchiectomy, may be an alternative for organ- confined tumors, particularly for infertile patients. However, organ-sparing surgery may carry the risk of infertility due to adjuvant radiotherapy. Contralateral testis biopsy is recommended for metachronous tumors, but most centers do not routinely perform it due to low positivity rates. Survival and remission rates for bilateral and unilateral testicular cancers are similar, with chemotherapy or retroperitoneal lymph node dissection considered in advanced cases.