Diagnosis and Management of Intrascrotal Nerve Tumors: A Prospective Study

Intrascrotal Nerve Tumors Management

Authors

  • Muhammad Zohaib Trainee Medical Officer, Urology Department, Institute of Kidney Diseases, HMC, Peshawar, Pakistan
  • Naveed Ahmed Shaikh Assistant Professor, Urology Department, Chandka Medical College, Larkana, Pakistan
  • Muhammad Numair Tariq Post Graduate Trainee, Urology Department, Ziauddin University, Karachi, Pakistan
  • Amir Ghani Consultant Urologist, Urology Department, Akbar Niazi Teaching Hospital, Islamabad, Pakistan
  • Abdul Aziz Medical Officer, General Medicine Department, Waqar Clinic, Fateh Jang, Pakistan
  • Ehsan Ullah Consultant General and Laparoscopic Surgeon, General Surgery Department, Irfan General Hospital, Charsadda Road, Peshawar, Pakistan
  • Irshad Ahmad Head of Department, Radiology, Niazi Medical and Dental College, Sargodha, Pakistan
  • Rao Nouman Ali Consultant Urologist and Andro-Sexologist, Urology Department, College of Physicians and Surgeons, Lahore, Pakistan
  • Muhammad Asif Consultant Urologist, Urology Department, District Headquarter Teaching Hospital, Mardan, Pakistan.

DOI:

https://doi.org/10.61919/jhrr.v4i3.1538

Keywords:

Intrascrotal nerve tumors, malignant peripheral nerve sheath tumor, MPNST, scrotal mass, ultrasonography, MRI, surgical excision, recurrence rate, urology oncology.

Abstract

Background: Intrascrotal nerve tumors, though rare, are significant due to their potential impact on patient health and the complexities in management, especially in distinguishing benign from malignant tumors.
Objective: The study aimed to evaluate the diagnosis and management of intrascrotal nerve tumors, focusing on clinical presentation, tumor characteristics, and treatment outcomes.
Methods: This prospective study was conducted at the Urology Department, Institute of Kidney Diseases, HMC, Peshawar, from January to June 2023. Fifty-five male patients with confirmed intrascrotal nerve tumors were included. Data were collected from medical records, including demographic information, clinical symptoms, imaging findings, biopsy results, and treatment details. Tumor characteristics were assessed through ultrasonography and MRI. Statistical analysis was performed using SPSS version 25, with significance set at p < 0.05.
Results: The mean age was 45.23±2.78 years. Benign tumors accounted for 65% of cases with a mean size of 2.8 cm, while malignant tumors (MPNSTs) accounted for 35% with a mean size of 4.5 cm. Complete excision was achieved in 95% of cases; recurrence was 32% in malignant tumors (p = 0.001). The overall survival rate for malignant tumors was 58% (p = 0.002).
Conclusion: Intrascrotal nerve tumors present diagnostic and management challenges, particularly MPNSTs, which require aggressive treatment and close follow-up due to high recurrence rates.

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Published

2024-09-18

How to Cite

Muhammad Zohaib, Naveed Ahmed Shaikh, Muhammad Numair Tariq, Amir Ghani, Abdul Aziz, Ehsan Ullah, Irshad Ahmad, Rao Nouman Ali, & Muhammad Asif. (2024). Diagnosis and Management of Intrascrotal Nerve Tumors: A Prospective Study: Intrascrotal Nerve Tumors Management. Journal of Health and Rehabilitation Research, 4(3), 1–4. https://doi.org/10.61919/jhrr.v4i3.1538

Issue

Vol. 4 No. 3 (2024): Volume 4, Issue 3 - July to September 2024

Section

Articles

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Copyright (c) 2024 Muhammad Zohaib, Naveed Ahmed Shaikh, Muhammad Numair Tariq, Amir Ghani, Abdul Aziz, Ehsan Ullah, Irshad Ahmad, Rao Nouman Ali, Muhammad Asif

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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