Frozen-section examination in the management of paediatric testicular lesions
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Read the article on link.springer.com ↗Article · Mar 2021 · 1 min read
In brief
In brief
Frozen-section examination achieved 100% diagnostic accuracy in nine pediatric patients with testicular lesions, enabling testis-sparing surgery in 78% of cases. The study demonstrates FSE is a reliable intraoperative tool for distinguishing benign from malignant pathology in children, supporting organ preservation in appropriate cases.
Written by the GCMD Library team from the article.
Abstract
Purpose
Paediatric testicular and para-testicular lesions have traditionally been managed according to adult protocols. Testis-sparing surgery (TSS) has gained popularity as it has become apparent benign lesions predominate in childhood. Frozen-section examination (FSE) for intra-operative diagnosis has been extensively utilised in adults, though its use in paediatric practice remains limited. We reviewed our experience of FSE in paediatric patients with an aim to identify the utility and efficacy of this tool in the management of testicular and para-testicular pathology.
Methods
A retrospective, single-centre review of paediatric patients who underwent intra-operative FSE for a range of testicular and para-testicular lesions was performed. FSE results were compared to final pathology. TSS was performed if appropriate, and was utilised in adolescent patients, and in lesions with a diameter greater than 20 mm.
Results
Nine males underwent FSE from 2013 to 2020. Median age at surgery was 9 years (range 1–15). Eight (89%) patients had benign pathology. FSE result correlated with the final pathological examination in 100% of cases. FSE facilitated TSS in 7/9 cases.
Conclusion
FSE has 100% diagnostic accuracy for paediatric testicular and para-testicular pathology. We would recommend all lesions be evaluated by FSE to guide intra-operative decision making and facilitate TSS in appropriate cases.