Poster électronique

La bourse maligne en pédiatrie (à propos de 85 cas)
R. Saouab, R. Dafiri - Rabat - Maroc
Congrès 2010
Résumé
Objectifs
Mettre le point sur les principales tumeurs malignes intrascrotales chez l'enfant.
Matériels et méthodes
Étude rétrospective de 85 dossiers de tumeurs malignes intrascrotales chez l'enfant explorés dans notre formation. L'âge moyen des patients est de 4 ans. L’imagerie était basée sur l'échographie, la TDM et l'IRM.
Résultats
Tumeurs intra-testiculaires : 50 cas de lymphomes ; 20 cas de leucémie ; 1 cas de métastase de neuroblastome ; 1 cas de tumeur du sac de Yolk. Tumeurs extra-testiculaires : 13 cas de rhabdomyosarcome para-testiculaire.
Conclusion
L’échographie est suffisante pour l'exploration d'une masse scrotale. Elle permet de préciser la localisation intra ou extra-testiculaire de la masse et de confirmer sa nature tissulaire. Le lymphome reste la tumeur intra-testiculaire la plus fréquente, de diagnostic souvent aisé vu la bilatéralité et l'association à d'autres lésions. Les tumeurs extra-testiculaires sont dominées par le rhabdomyosarcome.
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