Testicular cysts: US findings.

Gooding, Gretchen A. W.; Leonhardt, W.; Stein, Renato T.

doi:10.1148/radiology.163.2.3550884

Cited by 89 publications

(43 citation statements)

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“…7 Three cases of testicular cysts were seen as well circumscribed, an anechoic cystic structure with thin smooth walls as compared to cysts seen in testicular tumors which were multilocular with shaggy, thick poorly marginated walls. Similar findings were described by Gooding et al 8 Six cases of spermatoceles and eight cases of epididymal cysts were noted. Both these conditions were not reliably distinguished on sonographic examination alone.…”

Section: Discussionsupporting

confidence: 90%

Role of high resolution sonography and color Doppler flow imaging in the evaluation of scrotal pathology

et al. 2017

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Background: Scrotal swelling and pain are frequently encountered in clinical practice. Although to reach a diagnosis in some patients, history and physical examination are adequate, yet in a large percentage of patients, some additional studies are essential for complete evaluation of their symptoms. The clinical examination is often misleading or non-specific. The study shows the application of Gray-scale sonography, Color Doppler flow imaging (CDFI) and Power Doppler (PD) in the diagnosis of swelling, malposition, torsion, trauma, varicocele, hydrocele, cyst, mass, and atrophy.Methods: A total of 93 patients from all age groups with symptoms related to scrotal disease have been included in this study. Gray-scale sonography, CDFI and PD sonography of scrotal lesions were carried out.Results: A good correlation was seen in the comparison of scrotal lesions between sonography (gray scale, CDFI, and PD) and histopathology/ treatment response.Conclusions: High-resolution sonography, along with color Doppler flow imaging and power Doppler should be used as the first-line investigation in the evaluation of scrotal pathologies. Color Doppler flow Imaging and power Doppler add useful information and complement gray-scale sonography in reaching a correct diagnosis.

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Section: Discussionsupporting

confidence: 90%

Role of high resolution sonography and color Doppler flow imaging in the evaluation of scrotal pathology

et al. 2017

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“…Simple testicular cysts Testicular cysts occur in approximately 8% to 10% of patients (2). Benign cysts are often incidentally found and are generally not palpable (3).…”

Section: Cystic Lesionsmentioning

confidence: 99%

Non neoplastic intratesticular masses

Bhatt¹,

Jafri²,

Wasserman³

et al. 2009

Diagn Interv Radiol

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High-frequency ultrasonography is the first modality of choice for the evaluation of scrotal pathology. The use of high-frequency ultrasound is increasing, allowing detection and better characterization of many benign intrascrotal lesions that can be treated with non-surgical management or testicular-sparing surgery.This pictorial essay presents gray-scale and color-flow Doppler features of non-neoplastic intratesticular masses. For ease of understanding, the review is organized into three major categories: cystic, vascular, and solid non-neoplastic masses. Table summarizes the key sonographic features, each with recommended management. Sonographic anatomy of the testisThe normal adult testes in each hemi scrotum are symmetric in size and measure approximately 5x3x2 cm. On ultrasound, a normal testis is identified by the presence of homogeneous, medium-level echoes and is contained by a fibrous sheath called the tunica albuginea. The tunica albuginea is identified on ultrasound as a thin echogenic line around the testis and is externally covered by the tunica vaginalis. The tunica vaginalis consists of visceral and parietal layers that are normally separated by a few milliliters (2-3 mL) of fluid. The tunica attaches to the scrotal wall at the posterolateral aspect of the testis. From the posterior aspect of the testis, the tunica albuginea invaginates within the testis to form an incomplete septum, called the mediastinum testis. Sonographically, the mediastinum testis appears as an echogenic band of variable thickness that extends across the testis in the longitudinal axis (Fig. 1). Multiple fibrous septa extend from the mediastinum into the testis, dividing it into 250 to 400 lobules. Spermatogenesis occurs within the seminiferous tubules contained within these lobules. The seminiferous tubules open into dilated spaces called the rete testis within the mediastinum via the tubuli recti. The normal rete testis can be seen on high-frequency US in 18% of patients. (1). The rete testis drains into the epididymis via 10 to 15 efferent ductules.There are four testicular appendages (remnants of the mesonephric and paramesonephric ducts): the appendix testis (hydatid of Morgagni), the appendix epididymis, the vas aberrans, and the paradidymis. The appendix testis and the appendix epididymis are commonly seen on scrotal US. The appendix testis is a small ovoid structure usually at the upper pole of the testis in the groove between the testis and the epididymis, better seen by the presence of fluid around the testis.The testes are supplied by testicular arteries that arise from the abdominal aorta. The testicular arteries enter the spermatic cord at the deep inguinal ring and continue along the posterior surface of the testis, penetrating the tunica albuginea and forming the capsular arteries that course through the tunica vasculosa, which underlies the tunica ABDOMINAL IMAGING PICTORIAL ESSAY Imaging of non-neoplastic intratesticular massesShweta Bhatt, Syed Zafar H. Jafri, Neil Wasserman, Vikram S. Dogra ABSTRACTThe u...

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“…5,6 Cystic ectasia of the rete testis may be related to urological conditions that are associated with epididymal obstruction, such as vasectomy, spermatocele or epididymitis. 1,2,6,8 However, in this case, the patient's medical history was unremarkable with no history of herniorrhaphy, vasectomy, epididymitis or trauma.…”

Section: Discussionmentioning

confidence: 71%

“…8 The seminiferous tubules merge at the apex of each lobule of the testis and connect with the tubuli recti. The tubuli recti enter the mediastinum testis forming irregular anastomosing spaces known as the rete testis.…”

Section: Discussionmentioning

confidence: 99%