Multiparametric sonographic imaging of a capillary hemangioma of the testis: appearances on gray-scale, color Doppler, contrast-enhanced ultrasound and strain elastography

Bernardo, Silvia; Konstantatou, Eleni; Huang, Dean Y.; Deganello, Annamaria; Philippidou, M.; Brown, Christian; Sellars, Maria E.; Sidhu, Paul S.

doi:10.1007/s40477-015-0187-9

Cited by 9 publications

(12 citation statements)

References 20 publications

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“…All primary testicular lymphoma lesions were found to be hard on strain elastography, supporting the presumption that malignant tissue is invariably harder than surrounding normal tissue, which is thought to occur in primary germ cell tumors but has been reported in benign epidermoid cysts . However, the pattern of the combination of the various components on multiparametric sonography may facilitate the differential diagnosis . The implication is that no single aspect of the various sonographic techniques can be taken in isolation to achieve a diagnosis; all multiparametric sonographic features need to be considered to achieve a more confident assessment.…”

Section: Discussionmentioning

confidence: 65%

“…Strain elastography is an emerging sonographic technique that is used to estimate the mechanical properties and elasticity or stiffness of tissues. It has been proven to be highly specific in differentiating malignant lesions of the breast and thyroid, but few reports assessing testicular tumors exist . All primary testicular lymphoma lesions were found to be hard on strain elastography, supporting the presumption that malignant tissue is invariably harder than surrounding normal tissue, which is thought to occur in primary germ cell tumors but has been reported in benign epidermoid cysts .…”

Section: Discussionmentioning

confidence: 88%

“…Target lesions were compressed vertically with light pressure from the transducer until an optimal image was obtained, as indicated by a visual scale displayed on the screen. The elastographic technique for scrotal lesions has been previously described …”

Section: Methodsmentioning

confidence: 99%

“…There are reports demonstrating imaging features of both benign and malignant testicular lesions on CEUS and strain elastography, combined with conventional grayscale and color Doppler sonography, described as multiparametric sonography . However, there is limited literature regarding imaging of hematologic malignancies with CEUS and strain elastography.…”

mentioning

confidence: 99%

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Multiparametric Sonography of Hematologic Malignancies of the Testis: Grayscale, Color Doppler, and Contrast‐Enhanced Ultrasound and Strain Elastographic Appearances With Histologic Correlation

Kachramanoglou

Rafailidis

Philippidou

et al. 2016

J of Ultrasound Medicine

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Primary testicular lymphoma is rare and appears with nonspecific findings on grayscale and color Doppler sonography. We present 8 patients further examined with contrast-enhanced sonography, strain elastography, and histologic analysis after orchiectomy. Seven of 8 patients had a diagnosis of large B-cell lymphoma, and 1 of 8 had a diagnosis of granulocytic sarcoma, with solitary lesions (2 of 8), multiple lesions (3 of 8), or entire testicular involvement (3 of 8). Lesions appeared hypoechoic (7 of 8) or isoechoic (1 of 8), all with increased vascularity on color Doppler sonography and a nonbranching linear pattern of intratumoral vessels (7 of 8). Contrast-enhanced ultrasound (CEUS) confirmed this pattern and showed increased enhancement in all lesions. On strain elastography, all lesions were hard, with an elasticity score of greater than 4. Multiparametric sonography of testicular lymphoma identifies increased vascularity on color Doppler and contrast-enhanced ultrasound and increased lesion stiffness on strain elastography.

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 88%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Multiparametric Sonography of Hematologic Malignancies of the Testis: Grayscale, Color Doppler, and Contrast‐Enhanced Ultrasound and Strain Elastographic Appearances With Histologic Correlation

Kachramanoglou

Rafailidis

Philippidou

et al. 2016

J of Ultrasound Medicine

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“…7). Bernardo et al [21] reported a case of capillary hemangioma that demonstrated relatively soft tissue stiffness on strain elastography, with a VES of 3 and an SR of 2.3.…”

Section: Testicular Neoplastic Lesionsmentioning

confidence: 99%

Elastography of focal testicular lesions: current concepts and utility

2019

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As a relatively new sonographic technique, tissue elastography has emerged as a qualitative and potentially quantitative adjunctive tool to provide additional information on tissue stiffness, aiming to further improve diagnostic confidence in discriminating benign from malignant focal testicular lesions. The purpose of this review is to provide an overview of the elastography techniques used to assess focal testicular lesions and their typical appearance on tissue elastography.

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A 24‐year‐old patient with testicular benign capillary hemangioma: A rare case report

Haydar,

Sleiay,

Marina

et al. 2024

Clinical Case Reports

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Key Clinical MessageThe importance of urologists and pathologists being knowledgable about primary testicular hemangiomas and other benign adult testicular neoplasms, though rare, is crucial. Ensuring these professionals are well‐versed in these conditions is vital in medicine. Testicular sparing surgery, especially when tumor markers are negative, is a common approach for patients with small or uncertain testicular masses.AbstractThe cause of the uncommon benign testicular tumor known as testicular capillary hemangioma is currently unclear. Children are shown to have a greater incidence than adults. Histopathological examination reveals a vascular tumor with a well‐formed capillary lumina. The lesions are bordered by flattened endothelium and have lobulated clusters of closely spaced capillaries with an abundance of vascular gaps. These capillaries have anaplastic characteristics and lack mitotic activity. The patient, who was 24‐year‐old, came to the urology department complaining of severe testicular pain. He had no significant medical history. Clinical examination found a mass at the upper pole of the testicle. An ultrasonography Doppler study found a left varicocele that measured 3.5 mm in diameter, as well as a mass at the upper part of the left testicle. Pathologic examination confirmed the presence of a benign hemangioma with. Although rare, it is important for urologists and pathologists to be aware of primary testicular hemangiomas and other benign adult testicular neoplasms. Testicular sparing surgery has always been considered in patients with small or indeterminate testicular masses with negative tumor markers.

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Multiparametric sonographic imaging of a capillary hemangioma of the testis: appearances on gray-scale, color Doppler, contrast-enhanced ultrasound and strain elastography

Cited by 9 publications

References 20 publications

Multiparametric Sonography of Hematologic Malignancies of the Testis: Grayscale, Color Doppler, and Contrast‐Enhanced Ultrasound and Strain Elastographic Appearances With Histologic Correlation

Multiparametric Sonography of Hematologic Malignancies of the Testis: Grayscale, Color Doppler, and Contrast‐Enhanced Ultrasound and Strain Elastographic Appearances With Histologic Correlation

Elastography of focal testicular lesions: current concepts and utility

A 24‐year‐old patient with testicular benign capillary hemangioma: A rare case report

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