Carcinomul embrionar testicular în adolescenţă, importanţa diagnosticului rapid

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.