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Table 3 Details of the 7 patients with prior history of surgical violation of the scrotum and their outcome

From: Stage I seminoma: treatment outcome at King Hussein Cancer Center in Jordan

No.

Age (years)

T stage

Surgical approach

Histology

Pathological risk features

Preoperative tumor markers

Postoperative tumor markers

Adjuvant radiotherapy field (dose)

Management of scrotal scar

Outcome (time at follow-up from relapse)

1

27

T1

Scrotal biopsy followed by inguinal orchiectomy

Classical

5 cm tumor

Normal

Normal

Dog-leg (25 Gy/15Fx)

Local irradiation (25 Gy/15Fx)

ANED (74 months)

2

44

T1

Scrotal orchiectomy

Classical

None

Normal

Normal

Para-aortic (20 Gy/10Fx)

Re-excision of scar

ANED (20 months)

3

30

T1

Scrotal biopsy followed by inguinal orchiectomy

Classical

6 cm tumor

Rete testis invasion

Normal

Normal

Dog-leg (25 Gy/15Fx)

Local irradiation (25 Gy/15Fx)

ANED (53 months)

4

44

T1

Scrotal biopsy followed by inguinal orchiectomy

Classical

Not available

Not available

Normal

Dog-leg (20 Gy/10Fx)

Re-excision of scar

ANED (28 months)

5

45

T1

Scrotal exploration followed by inguinal orchiectomy

Classical

Not available

Not available

Normal

Dog-leg (25 Gy/15Fx)

Re-excision of scar

ANED (7 months)

6

40

T1

Scrotal orchiectomy

Classical

None

Normal

Normal

Dog-leg (20 Gy/10Fx)

Local irradiation (20 Gy/10Fx)

ANED (12 months)

7

38

T1

Scrotal biopsy followed by inguinal orchiectomy

Classical

8 cm tumor

Not available

Normal

Dog-leg (20 Gy/10Fx)

Local irradiation (20 Gy/10Fx)

ANED (37 months)

  1. ANED: Alive no evidence of disease.