PubMed · 14815
The source did not provide an abstract. Follow the original record for more information.
Explore connections, maps & timelines
W C Hecker. 1977-04-01. [Malignancy risk in dystopic testis].. https://pubmed.ncbi.nlm.nih.gov/14815/
Cite the original work for its findings. Save a collection to share your selection of sources.
KEEP EXPLORING
PURPOSE: We evaluated the outcome of fetuses with prenatally diagnosed undescended testes at 35 weeks or more of gestation. METHODS: We identified the fetuses in our database in whom undescended testes were identified sonographically in the last month of pregnancy and for whom outcome information could be obtained. Associated sonographic abnormalities were tabulated from the original reports. Outcomes were obtained through reviews of the pediatric medical records and pathology reports. RESULTS: Six fetuses in 5 patients (1 had twins) were identified as having an empty scrotum at 35 weeks or later. In 3 fetuses, this finding was the only prenatal sonographic abnormality. One of these fetuses had isolated undescended testes at birth; the twins were found at birth to be females with congenital adrenal hyperplasia and severe masculinization of the genitals. The other 3 fetuses had other malformations seen prenatally, including omphalocele and macroglossia (Beckwith-Wiedemann syndrome), a left diaphragmatic hernia, and multiple congenital abnormalities. CONCLUSIONS: Although the finding of undescended testes in late gestation may be noted in an otherwise normal fetus, it may also be associated with a potential risk for perinatal problems ranging from severe multiple congenital abnormalities to incorrect sex assignment due to masculinization of female genitalia.
Abdominoscrotal hydrocoeles (ASH) are infrequently reported in children. The presence of bilateral ASH is even rarer, with fewer than five cases reported to date. ASH are present at birth and tend to be progressive in nature. Spontaneous resolution has not been documented. The pathogenesis is uncertain and their presence in the neonatal period suggests a preformed abnormality of the processus vaginalis. Diagnosis is suspected on clinical examination and confirmed by ultrasonography, which is a reliable diagnostic tool. Undescended testes frequently coexist. Early surgery is the preferred management, and complications are frequent if left unattended. Surgery is simply an extension of a hernia operation, without the need for a laparotomy.
Tumors in an undescended testis are rare in children. We report a mature teratoma arising in the intra-abdominal testis (IAT) of a 1-year-old boy. Preoperative laparoscopy revealed a right IAT near the inguinal ring. As the right testis exposed through the inguinal incision seemed to be a neoplastic mass, an orchidectomy was performed. Histologic examination disclosed a mature teratoma. This is a review of seven cases (including the present one) of a prepubertal tumor originating in an IAT. We speculate that the undescended testes did not cause the neoplasia, but were induced by it.