ACR Appropriateness Criteria Staging of Testicular Malignancy

Yacoub, Joseph; Oto, Aytekin; Allen, Brian C.; Coakley, Fergus V.; Friedman, Barry; Hartman, Matthew; Hosseinzadeh, Keyanoosh; Porter, Christopher R.; Sahni, V. Anik; Sudakoff, Gary S.; Verma, Sadhna; Wang, Carolyn L.; Remer, Erick M.; Eberhardt, Steven C.

doi:10.1016/j.jacr.2016.06.026

Cited by 17 publications

(6 citation statements)

References 62 publications

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“…It also has a longer examination time and is more expensive for the patient. 11 MRI and CT both give a more global image and have better resolution of retroperitoneal lymph nodes than sonography. These are some of the reasons why CT was used in this particular case.…”

Section: Discussionmentioning

confidence: 99%

“…Most will follow the lymphatic route and travel to regional lymph nodes on the same side where the primary lesion is found. 11 Vascular invasion with this type of malignancy is also common if not detected quickly enough. Embryonal carcinoma has an extremely high rate of lymphovascular invasion and extension into the paratesticular tissue when compared with other malignancies.…”

Section: Discussionmentioning

confidence: 99%

“…CT is the most common study that is used when assessing the retroperitoneum for metastatic invasion. 11 After reviewing the sensitivity and accuracy of multiple imaging modalities used to assess testicular neoplasms, each were given a rating out of 10. Each modality was also assessed by the expense and examination time for patients.…”

Section: Discussionmentioning

confidence: 99%

“…CT has a rating of 9 out of 10 when a CT abdomen and pelvis with intravenous (IV) contrast is used. 11 MRI is also commonly used, but there are limitations due to an overlap between malignant and benign lymph nodes. MRI has a rating of a 7 out of 10 when used with and without contrast.…”

Section: Discussionmentioning

confidence: 99%

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Combined Embryonal Cell Carcinoma and Granulomatous Orchitis of the Testis

Martín

Anderson

2019

Journal of Diagnostic Medical Sonography

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Testicular embryonal cell carcinoma is a germ cell tumor that can be poorly differentiated and quite aggressive. It is a fairly common carcinoma of the testis but is uncommonly found coexisting with the rare inflammatory process of granulomatous orchitis. This case study describes a male in his early 30s diagnosed with embryonal carcinoma of the right testis combined with granulomatous orchitis that was initially found with sonography. The main treatment options are an orchiectomy or chemotherapy. The patient in this case was treated with orchiectomy before the cancer could metastasize to distant organs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Combined Embryonal Cell Carcinoma and Granulomatous Orchitis of the Testis

Martín

Anderson

2019

Journal of Diagnostic Medical Sonography

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“…However, improved MRI technique, e. g. diffusion-weighted imaging, is a MRI technique that improves the identification of lymph nodes on the basis of degree of restricted diffusion, but it is still limited by significant overlap between benign and malignant lymph nodes [ 13 ]. Further general disadvantages of MRI are longer examination time, higher costs, and lower availability in the medical setting [ 14 ]. Side effects such as systemic nephrogenic fibrosis and intracerebral gadolinium (Gd) deposition are only to be expected with severely impaired glomerular filtration rate but appear extremely rare due to the switch to macrocyclic Gd contrast media.…”

Section: Introductionmentioning

confidence: 99%

Can magnetic resonance imaging replace conventional computerized tomography for follow-up of patients with testicular cancer? A systematic review

et al. 2022

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Purpose Follow-up protocols for patients with testicular cancer (TC) have significantly reduced the number of cross-sectional imaging studies to reduce radiation exposure. At present, it is unclear whether magnetic resonance imaging (MRI) could replace conventional computerized tomography (CT) imaging. The objective of this study is to summarize the scientific evidence on this topic and to review guideline recommendations with regard to the use of MRI. Methods A systematic literature review was performed searching Medline and Cochrane databases for prospective studies on patients with TC in the follow-up care (last search in February 2021). Additionally, guideline recommendations for TC were screened. Data extraction and quality assessment of included studies were performed and used for a descriptive presentation of results. Results A total of four studies including two ongoing trials were identified. Overall, the scientific evidence of prospective comparative studies is based on 102 patients. Data suggest that abdominal imaging with MRI can replace conventional CT for detection of lymph node metastasis of the retroperitoneum to spare radiation exposure and contrast media application. However, experienced radiologists are needed. Clinical guidelines are aware of the risk of diagnosis-induced secondary malignancy due to CT imaging and some have adapted their recommendations accordingly. Results of the two ongoing trials on 738 patients are expected soon to provide more reliable results on this topic. Conclusions There is growing evidence that abdominopelvic MRI imaging can replace CT imaging during follow-up of patients with TC in order to reduce radiation exposure and diagnosis-induced secondary malignancy.

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Symptoms, Diagnosis, and Staging in Testicular Cancer

Schrader¹

2018

Urologic Oncology

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ACR Appropriateness Criteria Staging of Testicular Malignancy

Cited by 17 publications

References 62 publications

Combined Embryonal Cell Carcinoma and Granulomatous Orchitis of the Testis

Combined Embryonal Cell Carcinoma and Granulomatous Orchitis of the Testis

Can magnetic resonance imaging replace conventional computerized tomography for follow-up of patients with testicular cancer? A systematic review

Symptoms, Diagnosis, and Staging in Testicular Cancer

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