Clinical Image. MRI of Scrotal Hemangioma

Aizenstein, Robert I.; Wilbur, Andrew C.; O'Neil, Howard K.; Gerber, Brian J.

doi:10.1097/00004728-199611000-00004

Cited by 9 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most patients are asymptomatic, although on rare occasions a patient will present with dull, aching pain, heaviness, bleeding, and ulceration. These symptoms may lead to misdiagnosis of the lesion as a varicocele or inguinal hernia (8).…”

Section: Hemangiomamentioning

confidence: 99%

Multimodality Imaging of Paratesticular Neoplasms and Their Rare Mimics

Akbar¹,

Sayyed²,

Jafri³

et al. 2003

RadioGraphics

233

265

View full text Add to dashboard Cite

Extratesticular neoplasms are rare but clinically significant lesions that affect patients of all ages. These neoplasms are generally asymptomatic but may have potentially life-threatening sequelae. Lipoma is the most common primary benign paratesticular neoplasm and the most common tumor of the spermatic cord. Adenomatoid tumor is the most common tumor of the epididymis, followed by leiomyoma. In adult patients, it is imperative to consider sarcomas in the differential diagnosis of all solid tumors of the scrotum. The most common sarcomatous tumors in pediatric patients are embryonal sarcoma and rhabdomyosarcoma. Metastases, particularly from testicular, prostatic, renal, and gastrointestinal primary malignancies, can also occur. Mimics of paratesticular neoplasms including polyorchidism and splenogonadal fusion are rare but must also be considered for optimal management. Ultrasonography (US) is currently the imaging modality of choice. However, US findings are often variable and nonspecific and do not usually allow definitive characterization. Specific computed tomographic and magnetic resonance imaging findings with respect to tumor location, morphologic features, and tissue characteristics can aid in the evaluation of paratesticular neoplasms and help narrow the differential diagnosis.

show abstract

Section: Hemangiomamentioning

confidence: 99%

Multimodality Imaging of Paratesticular Neoplasms and Their Rare Mimics

Akbar¹,

Sayyed²,

Jafri³

et al. 2003

RadioGraphics

233

265

View full text Add to dashboard Cite

show abstract

“…Hemangioma s exhibit a slightly increased signal relative to muscle on T1-weighted images and are distinguished from other tumors by their marked hyperintensity on T2 images. Several features, such as multiple, focal punctate areas of signal voids within the lesion, their relationship with the inguinal canal and spermatic cord, and the location associated with the intrascrotal structure may aid the diagnosis [1]. The presented case had a solid mass on ultrasound that was not in keeping with physical examination ®ndings, thus MRI was indicated to enable di erentiation from a lipoma (Figure 1).…”

Section: Discussionmentioning

confidence: 93%

“…Since the presence of a pulsation or bruit is variable [6], the absence of¯ow on a Doppler study, as in our case, does not exclude the diagnosis of a hemangioma. Compared with ultrasound, MRI is able to provide more information of use in diagnosis [1]. Hemangioma s exhibit a slightly increased signal relative to muscle on T1-weighted images and are distinguished from other tumors by their marked hyperintensity on T2 images.…”

Section: Discussionmentioning

confidence: 99%

“…In the case presented, surgery was required since malignancy could not be ruled out in a solid mass without blood¯ow, especially since a diagnosis of lipoma or varicele was unlikely, based on sonographi c and MRI ®ndings. The absence of blood¯ow seen during color Doppler sonography may have been due to the small vessel caliber in the hemangioma and because of thrombus formation within vessel lumina [1]. Although vascular lesions of the testes tend to be benign in nature, local recurrence of hemangiomas is possible and has been documented in other organ systems where complete excision of the tumor has not occurred [13].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intrascrotal Hemangioma

Lin

Sun

et al. 2002

Archives of Andrology

View full text Add to dashboard Cite

“…In MRI, haemangiomas exhibit a slightly increased T1 signal relative to muscle and exhibit hyperintensity on T2 images. Furthermore, multiple focal punctuate areas of signal voids within the lesion and relationship with the spermatic cord and inguinal canal may aid diagnosis [6]. Another option is the utilisation of Tc-99m autologus labelled red cells, to determine the blood flow and blood pool characteristics of the lesion.…”

Section: Discussionmentioning

confidence: 99%