Incidentally detected testicular lesions < 10 mm in diameter: can orchidectomy be avoided?

ConclusionThe majority of testicular lesions <10 mm, identified by radiology, are benign, although around one third are malignant. At <5 mm, in this study 100% of lesions were benign. Tumour markers appear unhelpful in the distinction of these small tumours. We suggest that regular ultrasound surveillance ought to be more widely used for testicular lesions of this size. Testicular tumours now have a very high cure rate and changes in size of lesions may be monitored prospectively with minimal risk of increased morbidity. Patients who undergo an orchidectomy for lesions <5 mm are “Victims of Modern Imaging Technology” (VOMIT). If surgery is undertaken in lesions 5‐10 mm, patients should be counselled that two thirds of cases are benign.This article is protected by copyright. All rights reserved.

Source: BJU International - October 15, 2017 Category: Urology & Nephrology Authors: Glenda Scandura, Clare Verrill, Andrew Protheroe, Johnson Joseph, Wendy Ansell, Anju Sahdev, Jonathan Shamash, Daniel M Berney Tags: Original Article Source Type: research