PD53-12 RISKS OF PRIMARY ACTIVE SURVEILLANCE FOR SMALL TESTICULAR MASSES

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You have accessJournal of UrologyPenile & Testicular Cancer: Penile Cancer II (PD53)1 Sep 2021PD53-12 RISKS OF PRIMARY ACTIVE SURVEILLANCE FOR SMALL TESTICULAR MASSES Danly Omil-Lima, Karishma Gupta, Irma Lengu, Rogelio Valdez, Nannan Thirumavalavan, and Kyle Scarberry Omil-LimaDanly Omil-Lima More articles by this author , GuptaKarishma Gupta LenguIrma Lengu ValdezRogelio Valdez ThirumavalavanNannan Thirumavalavan ScarberryKyle View All Author Informationhttps://doi.org/10.1097/JU.0000000000002080.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Primary surveillance for small testicular masses (STMs) has previously been described. However, minimal long-term data no consensus guidelines exist guide practice, which remains controversial. Here we seek determine the prevalence, pathologic features, clinical outcomes STMs in order risks active surveillance. METHODS: Using National Database testis cancer dataset, identified patients with an incident diagnosis a mass ≤1 cm between 2004 2017. Clinical outcomes, including upstaging, were determined. Pearson's chi-squared test was used differences patient characteristics, presenting histology, staging. Nodal distant metastatic progression amongst compared those larger masses. RESULTS: 38,337 newly diagnosed tumors identified. Of these, 1,614 (4.2%) STMs, average size 7mm. STM cases demonstrated higher incidence ITGCN, as well embryonal, pure teratoma, Leydig cell histology (p<0.01, Table 1) when >1 cm; also fewer mixed germ tumors. Malignant pathologies otherwise mirrored masses, seminoma being most common. Although stage I disease common both groups, associated advanced disease. Additionally, although high risk features such lymphovascular invasion less (p<0.01), clinicopathologic upstaging seen these at same rate (Table 1). CONCLUSIONS: Active should be caution, still harbor malignant pathology. In current series demonstrate that are under-staging. Thus, further studies required risk-modifying (e.g. imaging findings, contribution novel tumor markers) establish evidence-based utilization management STMs. Source Funding: None © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e921-e921 Advertisement Copyright Permissions© Inc.MetricsAuthor Information Expand Loading ...

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ژورنال

عنوان ژورنال: The Journal of Urology

سال: 2021

ISSN: ['0022-5347', '1527-3792']

DOI: https://doi.org/10.1097/ju.0000000000002080.12