Evidence map›Paper›PMID 34162520›Full record

ReviewJournal of pediatric urology2021

EAU-ESPU pediatric urology guidelines on testicular tumors in prepubertal boys.

Raimund Stein, Josine Quaedackers, Nikita R Bhat, Hasan S Dogan, Rien J M Nijman, Yazan F Rawashdeh, Mesrur S Silay, Lisette A 't Hoen, Serdar Tekgul, Christian Radmayr and 1 more

Open access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Journal of pediatric urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
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  3. Establishment and characterization of a testicular yolk sac tumor PDX model.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 6 countries.

Raimund SteinCenter for Pediatric, Adolescent and Reconstructive Urology, Medical Faculty Mannheim, University of Medical Center Mannheim, Heidelberg University, Mannheim, Germany. Electronic address: raimundstein01@gmail.com.
Josine QuaedackersDepartment of Urology and Pediatric Urology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Nikita R BhatDepartment of Urology, Norfolk and Norwich University Hospital, Norwich, United Kingdom.
Hasan S DoganDepartment of Urology, Division of Pediatric Urology, Hacettepe University, Ankara, Turkey.
Rien J M NijmanDepartment of Urology and Pediatric Urology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Yazan F RawashdehDepartment of Urology, Aarhus, Denmark.
Mesrur S SilayDivision of Pediatric Urology, Department of Urology, Istanbul Medeniyet University, Istanbul, Turkey.
Lisette A 't HoenDepartment of Pediatric Urology, Erasmus Medical Center, Rotterdam, the Netherlands.
Serdar TekgulDepartment of Urology, Division of Pediatric Urology, Hacettepe University, Ankara, Turkey.
Christian RadmayrDepartment of Urology, Medical University of Innsbruck, Innsbruck, Austria.
Guy BogaertDepartment of Urology, University of Leuven, Leuven, Belgium.
Hacettepe University · TRUniversity Medical Center Groningen · NLErasmus MC · NLHeidelberg University · DEInnsbruck Medical University · ATIstanbul Medeniyet University · TRKU Leuven · BENorfolk and Norwich University Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTesticular tumors in prepubertal boys account for 1-2% of all solid pediatric tumors. They have a lower incidence, a different histologic distribution and are more often benign compared to testicular tumors in the adolescent and adult group. This fundamental difference should also lead to a different approach and treatment.

objectiveTo provide a guideline for diagnosis and treatment options in prepubertal boys with a testicular mass.

methodA structured literature search and review for testicular tumors in prepubertal boys was performed. All English abstracts up to the end of 2019 were screened, and relevant papers were obtained to create the guideline.

resultsA painless scrotal mass is the most common clinical presentation. For evaluation, high resolution ultrasound has a detection rate of almost 100%, alpha-fetoprotein is a tumor marker, however, is age dependent. Human chorionic gonadotropin (HCG) was not a tumor marker for testis tumors in prepubertal boys.

conclusionBased on a summary of the literature on prepubertal testis tumors, the 2021 EAU guidelines on Pediatric Urology recommend a partial orchiectomy as the primary approach in tumors with a favorable preoperative ultrasound diagnosis.

Indexed as

Testicular NeoplasmsUrologyAdolescentBiomarkers, TumorChildHumansMaleOrchiectomyTestisUltrasonographyBiomarkers, TumorDiagnosticsGuidelinesOrgan sparing surgeryPediatricsPrepubertal boysTesticular cancer

Identifiers

PMID34162520
OpenAlexW3171087124

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.