Sonographic Appearance of Benign Intratesticular Lesions

Kratzik, Christian; Hainz, A; Kuber, W.; Donner, G; Lunglmayr, G; Frick, J; Hj, Schmoller

doi:10.1159/000473432

Cited by 18 publications

(5 citation statements)

References 6 publications

(6 reference statements)

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“…The high sensitivity of US for detecting malignancy has always provided much reassurance for the clinician, despite the mediocre specificity [6,7]. Although there are reports of success in the discrimination of benign from malignant testicular lesions, most consider that US is very limited in this specific regard [8–10]. In the many cases where the nature of the lesion cannot be reliably predicted by US alone, FSA has allowed an accurate diagnosis and prevented unnecessary orchidectomy in a significant percentage of patients [5].…”

Section: Discussionmentioning

confidence: 99%

Carefully selected intratesticular lesions can be safely managed with serial ultrasonography

et al. 2006

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RESULTSOf 1544 scans reviewed, 12 (0.8%) lesions suitable for observational management were identified. The mean (range) age of the patients was 54 (34-76) years. The indication for US was suspected epididymitis in five, contralateral epididymal cyst in five and infertility in two patients. The mean (range) size of the lesion was 4.9 (1.5-9.8) mm. Three anechoic lesions were consistent with intratesticular cysts, and each was followed with no change to a mean (range) follow-up of 26 (12-48) months. Eight hypoechoic lesions were followed to a mean of 34 (4-72) months, and only one showed growth on repeat US after an interval of 4 months, and was diagnosed as a 1.0-cm seminoma after orchidectomy. One hyperechoic lesion remains unchanged at 6 months of follow-up. CONCLUSIONSupported by previous reports suggesting that most testis lesions of < 1 cm are benign, we managed a series of carefully selected intratesticular lesions conservatively, the behaviour in most being in keeping with benign pathology.

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Section: Discussionmentioning

confidence: 99%

Carefully selected intratesticular lesions can be safely managed with serial ultrasonography

et al. 2006

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“…Hemangioma usually presents as palpable a lesion with testicular enlargement, with or without tenderness [1,2,12,13]. On gray-scale sonography, it appears as a well defined, hypo-echoic [2,6,19] or hyperechoic lesion [14], homogeneous or inhomogeneous due to fibrosis or presence of calcifications of variable size. [3,6,11].…”

Section: Discussionmentioning

confidence: 99%

Intratesticular Arteriovenous Malformation. Clinical Course, Ultrasound and MRI Findings of an Extremely Rare Lesion on a 7 Year Follow-up Basis

et al. 2006

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We present the clinical course, sonographic and MRI findings of an intratesticular arteriovenous malformation (AVM) found in a patient during routine check-up for infertility evaluation. Seven years ago, patient's refusal for surgical removal of the lesion led to follow-up ultrasound examinations and finally to an MRI examination. Arteriovenous malformations of male genitalia have been reported in the literature (penis, scrotum, spermatic cord and epididimys). However, this is the second case of an intratesticular AVM and the first one with a long clinical follow-up.

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“…2,7,16 The differential diagnosis of a scrotal swelling includes testicular tumors, acute infections, infarction, granulomatous orchitis, and tuberculous epididymo-orchitis. 2,[26][27][28] The presence of epididymal involvement in conjunction with a testicular lesion is suggestive of an infection rather than a tumor, because orchitis is nearly always caused by epididymitis, while even advanced testicular tumors may only partially involve the epididymis. Sometimes the epididymides may be enlarged because of coincidental epididymitis or direct tumor invasion-especially in lymphoma, but also in germ cell tumors.…”

Section: Discussionmentioning

confidence: 99%