A REVIEW OF UROLOGIC SURGERY

TESTIS AND VAS DEFERENS 

Tumors of the Testis.  —Keyes⁴⁴ states that a high mortality rate accompanies the treatment of malignant tumors of the testis by orchidectomy only. It is emphasized that for more successful treatment earlier diagnosis and more extensive operation or treatment by radiant energy must be made. Five conditions must be considered in the differential diagnosis: syphilis, hematocele, hydrocele, tuberculosis and cryptorchidism. Gibson and Kutzmann in their radical operations found that in only 50 per cent of cases could all malignant nodes be removed. Colley reported seventy-eight cases treated with serum; only twenty-two patients survived more than four years.Keyes reports a case in which there was marked emaciation, a large testicular tumor, and extensive secondary masses in the abdomen. Orchidectomy was performed one week after treatment with radium packs. The abdominal masses subsided in several weeks, and ten years later the patient was living and well.