Testicular tumors occur in 0.5 to 2 per 100,000 children. They are 1-2% of all solid
tumors before puberty. The clinical history, testicular and abdominal ultrasonography,
alpha-fetoprotein and
human chorionic gonadotropin,
estrogens and
androgen levels, FSH and LH determine the diagnosis. The pathology determines the specific cell. We report seven cases, three
germ cell tumors: a
Yolk sac tumor in a child of 18 months and two mature
teratomas in children between 2 and 11 years presenting as a painless testicular mass without other symptoms. Three
tumors estrumales: one derived from Leydig cells and two of the granulosa cells, a palpable testicular mass was added
precocious puberty in stage II-III of Tanner in the first, second
gynecomastia in Tanner stage III and the third only with testicular mass. The seventh case,
Lipoma para-testicular mass palpable. The treatment was radical
orchiectomy in five cases. Testis-sparing surgery in
Leydig cell tumor and resection of the paratesticular mass was performed through scrotal. The
Yolk sac tumor requiring
chemotherapy with good outcome. Retroperitoneal
lymph node dissection is not recommended in prepubertal. Historically prepubertal
testicular tumors have been treated in adults. Recent testicular preservation algorithms optimize and minimize the morbidity of adjuvant
therapies. Many are benign and can be treated with preservation of the testis. Localized malignant
tumors can be treated by
orchiectomy.