HISTOMORPHOLOGICAL SPECTRUM OF TESTICULAR LESIONS IN A TERTIARY CARE HOSPITAL – A CROSS-SECTIONAL ANALYSIS

Introduction: Testicular lesions requiring orchidectomy can be both neoplastic and non-neoplastic conditions. Non-neoplastic lesions are more prevalent than neoplastic ones. Incidence rates of testicular tumors show considerable geographical variation, and interestingly, they exhibit an inverse pattern to most cancers, with decreasing incidence as age increases. Aim and objectives: This study aims to investigate spectrum of testicular lesions in suburban tertiary care center, their age-wise distribution, and various histomorphological patterns. Materials and Methods: This is cross sectional observational study analysing all orchidectomy cases.  Variables considered arehistopathological examination of H&E stained slides and other demographic variables extracted from case files. Any case files with missing demographic variable or HPE slides were excluded. Results: Total of 120 cases were included in the study. 113 cases were non-neoplastic, and 7 cases were neoplastic. Youngest patient is 6 months old, oldest is 86 yrs old. Left sided testis is affected more, with an incidence of 57%. Epididymo-orchitis is most common benign lesion and seminoma was most common tumor. Conclusion: Non-neoplastic lesions being more common, requires orchidectomy compared to neoplastic lesions.