Laparoskopi af 100 konsekutive patienter med 128 ikkepalpable testes
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Laparoskopi af 100 konsekutive patienter med 128 ikkepalpable testes. / Cortes, Dina; Thorup, Jørgen Mogens; Lenz, Katja; Beck, Bjarne Lomholt; Nielsen, Ole Henrik.
In: Ugeskrift for Laeger, Vol. 158, No. 20, 01.12.1996, p. 2849-2852.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Laparoskopi af 100 konsekutive patienter med 128 ikkepalpable testes
AU - Cortes, Dina
AU - Thorup, Jørgen Mogens
AU - Lenz, Katja
AU - Beck, Bjarne Lomholt
AU - Nielsen, Ole Henrik
PY - 1996/12/1
Y1 - 1996/12/1
N2 - A cohort of 100 patients underwent laparoscopy for 128 impalpable testes. They ranged in age from 2.7 to 19.3 years (median 10.8 years). There were no complications associated with laparoscopy. In 50% of the cases either blind-ending cord structures above the internal inguinal ring or intra-abdominal testes were identified; in the remainder, cord structures could be seen passing through the ring, indicating an intracanalicular testis. The impalpable testis was absent in 77% of patients with a contralateral scrotal testis. A seminoma was found in one 18.6-year-old patient with bilateral cryptorchidism. No intratubular germ cell neoplasia (carcinoma in situ) was proved. Germ cell hypoplasia or aplasia was demonstrated in 95% of cases with testicular parenchyma. We recommend laparoscopy as a safe procedure which leads to a diagnosis in patients with impalpable testes; the advent of laparoscopic procedure makes definitive treatment possible in about 50% of such cases.
AB - A cohort of 100 patients underwent laparoscopy for 128 impalpable testes. They ranged in age from 2.7 to 19.3 years (median 10.8 years). There were no complications associated with laparoscopy. In 50% of the cases either blind-ending cord structures above the internal inguinal ring or intra-abdominal testes were identified; in the remainder, cord structures could be seen passing through the ring, indicating an intracanalicular testis. The impalpable testis was absent in 77% of patients with a contralateral scrotal testis. A seminoma was found in one 18.6-year-old patient with bilateral cryptorchidism. No intratubular germ cell neoplasia (carcinoma in situ) was proved. Germ cell hypoplasia or aplasia was demonstrated in 95% of cases with testicular parenchyma. We recommend laparoscopy as a safe procedure which leads to a diagnosis in patients with impalpable testes; the advent of laparoscopic procedure makes definitive treatment possible in about 50% of such cases.
UR - http://www.scopus.com/inward/record.url?scp=0030582042&partnerID=8YFLogxK
M3 - Tidsskriftartikel
C2 - 8686020
AN - SCOPUS:0030582042
VL - 158
SP - 2849
EP - 2852
JO - Ugeskrift for Laeger
JF - Ugeskrift for Laeger
SN - 0041-5782
IS - 20
ER -
ID: 236898373