Abstract:
Abstract
Background. Testicular embryonia carcinoma in children is a rather rare disease, but must be identified as
soon as possible in the context of increasing the rate of curability and survival of the child for a quality life in reducing the rate of metastasis and mortality.
Material and methods: the medical documentation of the management of health care in stages, clinical and
paraclinical investigations, imaging morphology results, medical and surgical and histopathological results by conventional methods and immunohistochemical investigations (IHC) and own approaches to solving the case of testicular embryonic carcinoma, confirmed in the adolescence at the primary addressing to Natalia Gheorghiu SPNC
of Pediatric Surgery – PHI IMC.
Results. The present paper reflects the result of the evaluation and estimation of the reserved addressing
for the medical assistance, the evolutionary features of the primary testicular embryonal cancer diagnosed and
confirmed histologically by usual methods and IHC in the child during adolescence. The reflection, the consecutiveness and the effect of the medical and surgical management of diagnosis, surgical and therapeutic intervention
in the positive and fast solution of the case. The macro-microscopic morphological features characteristic of an
embryonic carcinoma were revealed by the presence of Schiller – Duval corpuscles from the elements of the yolk
sac, evolved postpubertally on the background of the asymptomatic immature teratoma.
Conclusions. The fundamental role in initiating the rapid diagnosis and development of medical and surgical,
morphopathological and oncotherapeutic management in embryonal carcinoma in children is given to the main
link between family, physician, pediatric morphopathologist and pediatric oncologist that will essentially prevent
the aggression and the metastasis of the tumor, preserving the excellent quality of life of the survivor.
Description:
Catedra Chirurgie, Ortopedie și Anesteziologie Pediatrică „Natalia Gheorghiu”, Catedra de Morfopatologie, Laboratorul Infecţii Chirurgicale la Copii, Universitatea de Stat de Medicină și Farmacie “Nicolae Testemiţanu”, Chișinău, R. Moldova, CN ȘP de Chirurgie Pediatrică „Natalia Gheorghiu”, Departamentul de Morfopatologice, IMSP Institutul Mamei și Copilului, Chișinău, R. Moldova, IMSP Institutul Oncologic, secţia oncologie pediatrică, Conferința Ştiinţifică Internaţională ”Probleme actuale ale morfologiei” dedicată celor 75 de ani de la fondarea Universităţii de Stat de Medicină și Farmacie Nicolae Testemiţanu, Chişinău, 30-31 octombrie 2020