Histopathological Spectrum of Testicular Lesions at a Tertiary Care Center in Western Rajasthan

Background: Both neoplastic and non-neoplastic conditions affect the testis. Although non neoplastic testicular lesions are more common, still most of the studies were done on testicular neoplasms only. Hence the present study was undertaken to study histopathological spectrum of testicular and paratesticular lesions, their age distribution and clinical presentation. Methods: This was a retrospective record based 1 year study conducted in Department of Pathology, Sardar Patel Medical College, Bikaner and included a total of 60 Testicular specimens which were diagnosed by histo-pathological examination. Results: A total of 60 cases of testicular lesions were encountered in our study. Out of the total 60 cases,15% (9/60) were diagnosed as malignant testicular tumor. Most of these tumors were seen between 3rd and 4th decades. Germ cell tumor was the most common type (77.7%) among which seminomas (44.44%) and mixed germ cell tumors (28.57%) were most frequently encountered. Other tumor diagnosed was Non-Hodgkin lymphoma. Non-neoplastic lesions of the testis are most common in the second decade of life. The youngest patient was at birth and oldest was 71 years of age. Out of all non-neoplastic lesions, vascular lesions like torsion and infarction are the most common findings (54.90%) followed by tuberculous abscess (15.68%). Conclusion: This study strongly recommends routine histopathological examination of all scrotal specimens for the detection of various testicular and paratesticular lesions, as well as neoplasms. Histopathology not only provides a tissue diagnosis in scrotal disorders, but it also adds to understanding etiopathogenesis and can aid in the development of future treatment options.