Gitimadhuri Dutta1 , Ranjan Kumar Mallick2 , Kaustav Mohapatra3
BACKGROUND Testicular tumours are one of the most common neoplasms occurring in males in the age group of 15 to 44 years. Incidence rate is about 1% of all malignant tumours in males. Germ Cell Tumour (GCT) accounts for 95% of all testicular tumours. Testicular dysgenesis syndrome, maternal in utero exposure to diethyl stilbestrol (DES) and family history of testicular tumours are important etiological factors for the development of testicular tumours. Clinical findings with various diagnostic tools like serum markers, radiological study along with histopathological study is used to determine the tumour type and subsequent treatment. METHODS A retrospective study of testicular tumours for a period of ten years from January 2009 to December 2019, was undertaken in a tertiary care centre to determine the clinico-pathological correlation of various types of testicular tumours. RESULTS A total of 35 cases were studied. Most common age group for tumour presentation was the 3rd decade of life contributing 42.85% of total cases. Present study found seminoma (42.85%) to be the most common testicular tumour, followed by mixed germ cell tumour (34.28%). Whereas 6 (17.14%) patients presented with multiple lung metastasis during the diagnosis. CONCLUSIONS Testicular tumours are rare and have been increasing in many countries during last decades. Incidence rate of testicular tumour in India is low. WHO 2016 update for testicular tumour redefines few precursor lesions and accordingly it affects the disease treatment and prognosis. Tumour markers play major role in the diagnosis, treatment, prognosis and follow up.
