Sonographic Findings of Typical and Atypical Scrotal Trauma

Sommers, Daniel; Ja, Jensen

doi:10.1097/ruq.0000000000000082

Cited by 7 publications

(2 citation statements)

References 68 publications

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“…In cases of segmental infarction due to epididymo-orchitis, it has been suggested that venous compromise can result in a rounded lesion (30). The median age of patients with segmental infarction is 37 years, which over- hematomas are avascular, a helpful distinguishing feature from seminoma (34). If there is concern about an incidental testicular tumor discovered at testicular US performed for trauma, follow-up imaging to ensure resolution should be performed.…”

Section: Benign Lesions Segmental Infarctionmentioning

confidence: 99%

Testicular Seminoma and Its Mimics:From the Radiologic Pathology Archives

Marko¹,

Wolfman²,

Aubin³

et al. 2017

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Testicular seminoma is the most common malignant tumor of the testis. It classically manifests as a painless mass. Radiologic evaluation with high-frequency ultrasonography (US) is critical for diagnosis. Seminomas are usually homogeneously hypoechoic masses at US. In challenging cases, magnetic resonance (MR) imaging may help confirm that a mass is intratesticular and provide data for local staging. Computed tomography (CT) provides valuable information for staging, including the presence and size of retroperitoneal lymph nodes. Testicular seminoma is treated with radical inguinal orchiectomy and is highly curable even at advanced stages of disease. Several neoplastic and nonneoplastic conditions may mimic testicular seminoma at imaging. Benign mimics include segmental infarction, hematoma, infection, epidermoid cyst, adrenal rests, sarcoidosis, splenogonadal fusion, and sex cord-stromal tumors. Malignant mimics include nonseminomatous germ cell tumors, lymphoma, and metastases. These conditions are individually reviewed with emphasis on features that allow differentiation from seminoma. Spermatocytic tumor, formerly known as spermatocytic seminoma, accounts for only 1% of testicular tumors. It is distinct from classic seminoma, with unique histologic, molecular, and genetic features. It affects an older patient population than classic seminoma and demonstrates indolent clinical behavior. Radiologists serve a key role in diagnosis, staging, and surveillance of patients with seminoma. A thorough knowledge of related clinical, radiologic, and pathologic findings will help the radiologist contribute to high-quality interdisciplinary care of affected patients.

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Section: Benign Lesions Segmental Infarctionmentioning

confidence: 99%

Testicular Seminoma and Its Mimics:From the Radiologic Pathology Archives

Marko¹,

Wolfman²,

Aubin³

et al. 2017

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“…Acute trauma uncommonly affects the scrotum, and scrotal trauma when it does occur is usually due to blunt force trauma (4). Aside from risks of acute trauma, bicycle riding may be associated with chronic genital trauma, including scrotal numbness due to pudendal compression, associated with regional genital(penile, perineal) numbness, as well as sometimes with erectile dysfunction.…”

Section: Lesions and Neoplasms Of The Scrotum Traumamentioning

confidence: 99%