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Two cases of subsymphyseal epispadias in the female patient with surgical correction
377
INTERNATIONAL ABSTRACTS OF PEDIATRIC SURGERY
Since all 14 cases of malignant tumors occurred following orchiopexy performed after 6 years of age, it is concluded that orchiopexy should be performed prior to age 6. The question of the desirability of orchiectomy in the older patients is raised.--George W. Holcomb,
Jr.
Reference to complications of radiotherapy in the infant and child is noted.--William L. Schev. RADIOLOGY IN
PEDIATRIC
GYNECOLOGY. C.
E.
Shopfner. Rad. Clin. North Amer. 5:151-167 ( April ), 1967.
Methods of radiologic examination and the radiologic findings in pediatric gynecology are RADIOTHERAPEUTIC MANAGEMENT OF TESTIGULAR presented. Vaginitis, genital tract obstruction, NEOPLASMS IN CHILDREN. M. Tefft, G. F. tumors, gynecologic aspects of bladder extrophy, Vawter and A. Mitus. Radiology. 88 (No. 3), gynecologic aspects of imperforate anus, and 457-465 (March), 1967. intersex are discussed. The author presents beantiful radiographic studies which are most helpful 21 cases of primary malignant lesions of the in clarifying the gynecologic anatomy. Emphasis testicle were seen from 1930 to 1965. 5 cases of is given to the value of genitography. The flushing benign neoplasms were also recorded. Evaluation technique is used in genitography to allow prompt of the therapy and suggested approaches to aproentgenologic visualization of all genital cavities. propriate therapy were derived after review. In the flushing technique the tip of a blunt-nosed Malignant lesions of germ cell origin constituted syringe is inserted into the genital tract opening 17 of the 21 cases. Initial therapy consisted of and the glass barrel pressed against the perineum. total excision of the affected testicle and the Oily and aqueous media have been used to visualsperlnatic cord. Further management of 6 patients ize the internal genital passages. The value of this included retroperitoneal node dissection and technique in evaluating intersex seems unquesdissection of the iliac nodes on the affected tioned.--J. Eugene Lewis, Jr. side. 2 of the original 15 had additional surgery but less extensive (local extirpation of nodes). T w o CASES OF SUBSYMPHYSEAL EPISPADIAS IN THE 6 of these latter 8 patients never evidenced disFEMALE PATIENT WITH SURGICAL CORRECTION. semination. The other 2 had solitary pulmonary H. K. Freedman, H. L. Schlesinger and G. E. metastases with good control by radiation therapy. Randall. J. Urol. 97:490-491 (March), 1967. In 9 patients only radical orchiectomy was employed. 6 died of metastatic disease within 18 This is a report of two cases of subsymphyseal months of diagnosis. epispadias in girls presenting with urinary inconMalignant tumors of non-germ cell origin tinence, which was cured by Marshall-Marchetti numbered 4 in this series. 2 patients had radical vesicourethral suspension. The authors believe this orchiectomy, extensive retroperitoneal node dissecmethod has not been applied previously to this tions and irradiation. The nodes were markedly inanomaly.--W. H. Hendren. volved. They are alive and well 4 and 6 years later. 2 patients had limited therapy (radical OVARIAN AND PAROVAmAN TUMORS IN INFANTS orchiectomy and simple orchiectomy) and died AND CHILDREN.J. P. Thompson, M. B. Dockerty, 6 and 4 months after diagnosis. R. E. Simmonds and A. B. Hayles. Amer. J. The patients with benign lesions of germ cell Obst. & Gynec. 97:1059 (April), 1967. origin (teratoma) and of non germ cell origin (interstitial cell) all are alive and well after The cases in this study represent all of the relatively simple operative procedures and no ovarian tumors found in infants and children extensive Rode dissection. seen at the Mayo Clinic since 1905. There were Consideration of tumor origin, frequency of 53 primary and metastatic tmnors of the ovary in girls 14 years of age and younger. occurrence and differential diagnosis of scrotal masses is briefly reviewed. Nonneoplastic Cysts. 12 patients were included The apparent proper approach to malignant in this group; the cysts were simple follicular in testicular lesions suggested is: biopsy, surgery 6, corpus luteum in 3 and para ovarian in 3. (radical orchiectomy, ipsilateral iliac node dissecThe youngest was 5 months old and 10 of the 12 tion and retroperitoneal node dissection) and were between the ages of 12 and 14 years. Pain radiation therapy. was the prevailing complaint in three-fourths of The value of Actinomycin D and radiotherapy the patients. A mass was palpable in half. The in metastatic disease is suggested as probably sigsmallest cyst was 5 cm. and the largest 25 cm. nificant. in diameter. 75 per cent had undergone torsion.
INTERNATIONAL ABSTRACTS OF PEDIATRIC SURGERY
Since all 14 cases of malignant tumors occurred following orchiopexy performed after 6 years of age, it is concluded that orchiopexy should be performed prior to age 6. The question of the desirability of orchiectomy in the older patients is raised.--George W. Holcomb,
Jr.
Reference to complications of radiotherapy in the infant and child is noted.--William L. Schev. RADIOLOGY IN
PEDIATRIC
GYNECOLOGY. C.
E.
Shopfner. Rad. Clin. North Amer. 5:151-167 ( April ), 1967.
Methods of radiologic examination and the radiologic findings in pediatric gynecology are RADIOTHERAPEUTIC MANAGEMENT OF TESTIGULAR presented. Vaginitis, genital tract obstruction, NEOPLASMS IN CHILDREN. M. Tefft, G. F. tumors, gynecologic aspects of bladder extrophy, Vawter and A. Mitus. Radiology. 88 (No. 3), gynecologic aspects of imperforate anus, and 457-465 (March), 1967. intersex are discussed. The author presents beantiful radiographic studies which are most helpful 21 cases of primary malignant lesions of the in clarifying the gynecologic anatomy. Emphasis testicle were seen from 1930 to 1965. 5 cases of is given to the value of genitography. The flushing benign neoplasms were also recorded. Evaluation technique is used in genitography to allow prompt of the therapy and suggested approaches to aproentgenologic visualization of all genital cavities. propriate therapy were derived after review. In the flushing technique the tip of a blunt-nosed Malignant lesions of germ cell origin constituted syringe is inserted into the genital tract opening 17 of the 21 cases. Initial therapy consisted of and the glass barrel pressed against the perineum. total excision of the affected testicle and the Oily and aqueous media have been used to visualsperlnatic cord. Further management of 6 patients ize the internal genital passages. The value of this included retroperitoneal node dissection and technique in evaluating intersex seems unquesdissection of the iliac nodes on the affected tioned.--J. Eugene Lewis, Jr. side. 2 of the original 15 had additional surgery but less extensive (local extirpation of nodes). T w o CASES OF SUBSYMPHYSEAL EPISPADIAS IN THE 6 of these latter 8 patients never evidenced disFEMALE PATIENT WITH SURGICAL CORRECTION. semination. The other 2 had solitary pulmonary H. K. Freedman, H. L. Schlesinger and G. E. metastases with good control by radiation therapy. Randall. J. Urol. 97:490-491 (March), 1967. In 9 patients only radical orchiectomy was employed. 6 died of metastatic disease within 18 This is a report of two cases of subsymphyseal months of diagnosis. epispadias in girls presenting with urinary inconMalignant tumors of non-germ cell origin tinence, which was cured by Marshall-Marchetti numbered 4 in this series. 2 patients had radical vesicourethral suspension. The authors believe this orchiectomy, extensive retroperitoneal node dissecmethod has not been applied previously to this tions and irradiation. The nodes were markedly inanomaly.--W. H. Hendren. volved. They are alive and well 4 and 6 years later. 2 patients had limited therapy (radical OVARIAN AND PAROVAmAN TUMORS IN INFANTS orchiectomy and simple orchiectomy) and died AND CHILDREN.J. P. Thompson, M. B. Dockerty, 6 and 4 months after diagnosis. R. E. Simmonds and A. B. Hayles. Amer. J. The patients with benign lesions of germ cell Obst. & Gynec. 97:1059 (April), 1967. origin (teratoma) and of non germ cell origin (interstitial cell) all are alive and well after The cases in this study represent all of the relatively simple operative procedures and no ovarian tumors found in infants and children extensive Rode dissection. seen at the Mayo Clinic since 1905. There were Consideration of tumor origin, frequency of 53 primary and metastatic tmnors of the ovary in girls 14 years of age and younger. occurrence and differential diagnosis of scrotal masses is briefly reviewed. Nonneoplastic Cysts. 12 patients were included The apparent proper approach to malignant in this group; the cysts were simple follicular in testicular lesions suggested is: biopsy, surgery 6, corpus luteum in 3 and para ovarian in 3. (radical orchiectomy, ipsilateral iliac node dissecThe youngest was 5 months old and 10 of the 12 tion and retroperitoneal node dissection) and were between the ages of 12 and 14 years. Pain radiation therapy. was the prevailing complaint in three-fourths of The value of Actinomycin D and radiotherapy the patients. A mass was palpable in half. The in metastatic disease is suggested as probably sigsmallest cyst was 5 cm. and the largest 25 cm. nificant. in diameter. 75 per cent had undergone torsion.