Paratesticular Tumors in the Service of Urology Ibn Rochd UHC: Epidemioclinical and Therapeutic Aspects

Objective: To analyze the frequency, clinical and therapeutic aspects of paratesticular tumors in the urology department of the Ibn Rochd UHC. Patients and methods: Retrospective study of 5 patients with partesticular tumors treated in the urology department of Ibn Rochd UHC between January 2014 and December 2019. The parameters studied were age, circumstances of discovery, histological type of the tumor and the treatment performed. Results: Five paratesticular tumors were recorded among all patients admitted for a tumor of the urogenital system, representing a prevalence of 0.52%. The mean age of onset was 27 years (range 17—65 years). The circumstances of discovery were a scrotal mass in 60% of the cases, that is to say three patients and an inguinoscrotal mass in two patients. Several histological types of tumors have been recorded: three cases of rhabdomyosarcomas, either 60%, one case of sarcoma, either 20%, and one case of fibroma. The modalities of the surgical treatment carried out were enlarged orchidectomy by upper inguinal approach with lymph node dissection in two patients, enlarged orchidectomy by upper inguinal approach without lymph node dissection in two cases and one case of tumerectomy. Conclusion: Paratesticular tumors are rare. They are found mainly in young adults. The clinical presentation is variable and the diagnosis often late. Management is multidisciplinary but remains essentially surgical. Our study illustrates the great histopathological variability of paratesticular tumors.