Abstract
Management of testicular tumors in children has been variable. There is no general agreement regarding further optimal therapy. Embryonal carcinoma is the most common in testicular tumors of the childhood, and it is usually managed with high inguinal orchiectomy, retroperitoneal lymphadenectomy, radiotherapy and chemotherapy. Various recommendation for further therapy with either retroperitoneal lymphadenectomy, irradiation to retroperitoneal lymph nodes, chemotherapy, or a combination of these modalities have been made in many studies. Survival rate increases if many therapies are combined. But the growth of most embryonal carcinoma of testes in children is localized at time of diagnosis. Retroperitoneal dissection is a risky and incomplete procedure for small children. Prophylactic irradiation is hazardous in the growing child, while chemotherapy seems to be useful initial management. During the last 17 years, 11 cases of embryonal carcinoma of the testis were experienced. Ten of 11 cases are alive. Nine cases were managed with orchiectomy and chemotherapy. The others were managed with combination therapy. Successful chemotherapy for a retro-peritoneal metastasis Stage III was presented, which was treated with Adriamycin, Vincristine and Cyclophosphamide, Based on oure experiences 11 cases and review of the literature, we advocate high inguinal orchiectomy and chemotherapy if metastasis is not manifested.
