Histomorphological spectrum of tumor and tumor like lesions of testis and paratesticular structures-A cross sectional study

Abstract

Objectives: To study the prevalence and histomorphologic spectrum of tumor and tumor like lesions of testis and paratesticular tissues. Material and Methods: This was a prospective study conducted involving 59 cases. The clinical details were recorded from the case records. Each specimen was subjected to detailed gross examination and the histopathological features were noted on hematoxylin and eosin stained slides of all the specimens. The clinical data, macroscopic and microscopic findings in these cases were tabulated and analyzed. Descriptive parameters like mean, percentage etc were calculated using SPSS software. Results: Prevalance of testicular tumors was 0.26%. Right testis [31 cases (52.54%)] was involved more commonly than the left [28 cases (47.45%)]. Majority of the testicular lesions were tumor like lesions comprising of 41(69.50%) of the cases followed by tumors which accounted for 18 (30.50%) cases. Seminoma was the commonest of germ cell tumor (33.30%) followed by 27.70% of germ cell tumor of more than one histologic type. Non-specific orchitis was commonest of all tumor like lesions (54.23%) followed by tuberculous orchitis. There were one case (5.60%) each of adenomatoid tumor and rhabdomosarcoma involving paratesticular region. Conclusion: Tumor and tumor like lesions of testis have similar presentations in the form of scrotal swelling and pain. Majority of the testicular lesions were tumor like lesions. Among tumors seminoma was the commonest neoplasm. Histopathologic examination and routine hematoxylin and eosin staining can help in accurately diagnosing and determining the prognosis of these rare tumor and tumor like lesions of testis and para testicular region. Keywords: Testis, Paratestis, Tumors, Tumor like lesions