Spermatic Cord and Testicular Adnexa

Bostwick, David G.; Ma, Jun

doi:10.1016/b978-0-323-54941-7.00014-1

Cited by 6 publications

(5 citation statements)

References 215 publications

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“…Varicocele. Varicoceles are the most frequently detected spermatic cord mass and can be idiopathic or may occur due to incompetent valves within the testicular veins or an abdominal mass (typically renal cell carcinoma) that invades or compresses the renal vein or inferior vena cava (73). Varicoceles are encountered in 15% of the general population and up to 40% of the male population with infertility (74).…”

Section: Incidental Lesions Related To Intrascrotal Organsmentioning

confidence: 99%

Incidental findings on prostate MRI: a close look at the field of view in this anatomical region

et al. 2022

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Magnetic resonance imaging (MRI) has been widely used as an advanced imaging modality to detect prostate cancer and indicate suspicious areas to guide biopsy procedures. The increasing number of prostate examinations with MRI has provided an opportunity to detect incidental lesions, and some might be very significant to elucidate patient symptoms or occult neoplastic process in the early stages. These incidental lesions might be located in the prostate gland, adjacent tissues, or organs around the prostate gland or out of the genitourinary system. The field of view of prostate MRI includes not only the prostate gland but also other critical pelvic organs in this specific anatomical region. Some of these incidental lesions might cause the same symptoms as prostate cancer and might explain the symptoms of the patient, and some might indicate early cancer stages located outside the prostate. Reporting these lesions might be life-saving by initiating early disease treatment. Awareness of the predicted locations of congenital anomalies would also be beneficial for the radiologists to mention these incidental findings.

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Section: Incidental Lesions Related To Intrascrotal Organsmentioning

confidence: 99%

Incidental findings on prostate MRI: a close look at the field of view in this anatomical region

et al. 2022

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“…They occur in up to 40% of vasectomy patients and can be seen as soon as 2 to 3 weeks after surgery. 35,36 Interestingly, sperm granulomas develop epithelial lined microtubules that allow relative decompression of the vas deferens proximal to the vasectomy site. 37 In fact, these tubules can reconnect the stumps of the vas deferens and create a channel for sperm, leading to functional recanalization of the vas deferens and failure of vasectomies.…”

Section: Inflammationmentioning

confidence: 99%

“…They primarily occur in the setting of obstruction of the vas deferens, although trauma and inflammation are also etiologies. They occur in up to 40% of vasectomy patients and can be seen as soon as 2 to 3 weeks after surgery 35,36 . Interestingly, sperm granulomas develop epithelial lined microtubules that allow relative decompression of the vas deferens proximal to the vasectomy site 37 .…”

Section: Common Abnormalities Of the Vas Deferensmentioning

confidence: 99%

Ultrasound of the Normal and Abnormal Vas Deferens

Kerr

Middleton²

2022

Ultrasound Quarterly

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The extrapelvic portion of the vas deferens is readily visible with ultrasound but often overlooked. Several publications have described the scanning technique and the normal anatomy of the vas deferens. Sonographic evaluation of the vas deferens provides critical information in the workup of male infertility. Obstruction, inflammatory conditions, and neoplasms of the vas deferens can also be diagnosed with ultrasound. Knowledge of the normal and abnormal appearance of the vas deferens improves scans of the scrotum and expands the conditions that can be recognized and accurately diagnosed with ultrasound.

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“…Paratestis is the anatomical region around testis which includes spermatic cord and its contents, vas deferens, testicular tunics, epididymis, efferent ductules and rete testis. 1 Soft tissue sarcomas are accounts for approximately 1% of all malignant tumours 2 and the paratestis is an extremely rare site accounting for less than 1% of sarcomas. 3 So, primary paratesticular soft tissue sarcomas are rarest of rare tumours.…”

Section: Introductionmentioning

confidence: 99%

Technical illustration of Volumetric arc conformal radiotherapy planning in a case of paratesticular sarcoma

et al. 2021

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Introduction: Paratesticular sarcoma are extremely rare malignant tumours. Unlike other sites, they tend to be lower grade and have higher propensity of lymphatic spread. They tend to fail locally and occasionally in the regional lymph nodes. In the absence of target volume delineation guidelines and technical illustration of conformal planning, we have made an attempt to illustrate conformal planning methodology and define target volume based on current evidence in a case of paratesticular sarcoma. Methods: We are presenting a case of 62-year-old male who presented with 15-cm scrotal swelling and underwent high inguinal orchidectomy with ligation of spermatic cord. Histopathology presented a well-differentiated leiomyosarcoma of epididymis. Post-operative radiotherapy target volume included the tumour bed, ipsilateral inguinal nodes and lower pelvic nodes as the clinical target volume. Conclusion: Adjuvant radiotherapy using advanced delivery technique such as volumetric arc technique can provide good dose distribution with good sparing of organs at risk. The downside of conformal radiation delivery is that it is a resource-intensive and has no established target volume delineation guidelines.

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Spermatic Cord and Testicular Adnexa

Cited by 6 publications

References 215 publications

Incidental findings on prostate MRI: a close look at the field of view in this anatomical region

Incidental findings on prostate MRI: a close look at the field of view in this anatomical region

Ultrasound of the Normal and Abnormal Vas Deferens

Technical illustration of Volumetric arc conformal radiotherapy planning in a case of paratesticular sarcoma

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