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- Title
Onco-testicular sperm extraction (onco-TESE) for bilateral testicular tumors: two case reports.
- Authors
Sohgo Tsutsumi; Takashi Kawahara; Teppei Takeshima; Sawako Chiba; Koichi Uemura; Masako Otani; Kota Shimokihara; Yutaro Hayashi; Taku Mochizuki; Daiji Takamoto; Yusuke Hattori; Jun-ichi Teranishi; Yasuhide Miyoshi; Masahiro Yao; Yoshiaki Inayama; Yasushi Yumura; Hiroji Uemura; Tsutsumi, Sohgo; Kawahara, Takashi; Takeshima, Teppei
- Abstract
<bold>Background: </bold>Most patients with testicular cancer are infertile; thus, the preservation of the sperm after surgery is an important factor to consider. We report two cases of bilateral testicular cancer in patients who underwent bilateral higher orchiectomy and simultaneous testicular sperm extraction.<bold>Case Presentation: </bold>Two Asian-Japanese men were referred to our hospital with bilateral testicular tumors. Both of the patients were preoperatively diagnosed with azoospermia and requested testicular sperm extraction at the time of higher orchiectomy. In one patient, sperm was successfully harvested and then frozen. In the other patient, sperm could not be retrieved from the patient's testis. In both patients, the pathological diagnosis was seminoma. Testicular tumors often occur in patients of reproductive age. The preservation of sperm before chemotherapy or bilateral orchiectomy is necessary for patients with testicular tumors who wish to be fathers.<bold>Conclusions: </bold>Onco-testicular sperm extraction might be an option for patients with testicular cancer and azoospermia or severe oligospermia.
- Subjects
TESTIS tumors; OLIGOSPERMIA; SPERMATOZOA; CANCER chemotherapy; CASTRATION; SPERM count; ORGAN donation; INFERTILITY; GERMINOMA; FERTILITY preservation; DISEASE complications
- Publication
Journal of Medical Case Reports, 2017, Vol 11, p1
- ISSN
1752-1947
- Publication type
journal article
- DOI
10.1186/s13256-017-1303-6