CARACTERIZACIÓN DEL CÁNCER TESTICULAR EN PACIENTES DEL HOSPITAL GUAYAQUIL, PERIODO 2016-2018.

Abstract

Testicular cancer has a low incidence, accounting for 1.5% of malignancies in males, however, it is the most common neoplasm in men between 20 and 40 years of age. In Ecuador according to the Society Against Cancer (SOLCA) in the epidemiological report of 2011-2015 there is a tendency to increase the number of diagnosed cases. A descriptive, observational, retrospective cross-sectional and quantitative approach was conducted with the aim of characterizing the disease in the Guayaquil Hospital during the period 2016-2018. The age group of 21 to 40 years of age occurred most often this neoplasm, followed by the group of 41 to 60 years. The most common clinical manifestation was the presence of a palpable scrotal mass, then testicular pain. The disease was most often diagnosed in clinical stage III, followed by stage I. The most common histological type was seminoma, then non-seminoma, without difference between them in terms of age. In patients aged 61 years and over there were no cases of germinal tumors. The AFP tumor marker is predominantly elevated in patients with non-seminomatous tumors, on the contrary, the HCG beta, and LDH showed there were no relevant differences. Frequent disease of the second to fourth decade of life, characterized by a palpable testicular mass, with an important diagnosis of advanced stage cases, where there are tumor markers of relevance in the extent of the disease and relapse into dependence on the histological type.