Histomorphological Trends of Testicular Lesions : A Retrospective Study

Abstract

Aims: Testis is affected by a variety of non-neoplastic and neoplastic lesions. Our study was undertaken to analyze the spectrum of all testicular lesions and clinical correlation with age-wise distribution, laterality, and clinical presentation of all testicular lesions. Study Design: A retrospective descriptive study. Place and Duration of Study: Saveethe Medical College and Hospitals, over three years from January 2018 to December 2020. Methodology: All testicular lesions sent to the Department of Pathology during this period are taken for the study. Histopathological slides were retrieved and all testicular lesions were reviewed. Results: Out of 70 cases studied, 64 cases were non-neoplastic (91.42%) and 6 cases were neoplastic (8.57%). Right testis was more commonly involved in our study. Age distribution of non-neoplastic lesions showed the highest incidence in the 2nd decade of life (18.7%) followed by the 6th decade of life (15.6%) in our study. In neoplastic lesions, the 3rd and 4th decade of life shows higher incidence (33.4% respectively). Among non-neoplastic lesions, the most common histologic type is atrophic testis (31.2%). Among neoplastic lesions, the most common lesion is seminoma (50%). Conclusion: Non- neoplastic lesions are seen in all age groups, whereas testicular neoplastic lesions are more commonly seen in the younger age group.