Testis Scintigraphy in a Patient with Acute Lymphoblastic Leukemia

Abstract

Acute lymphoblastic leukemia (ALL) is a pediatric malignancy associated with remissions and relapses. Common relapsing sitesare meninges, testis and ovary. Testicular scintigraphy is a highly specific modality used mainly in the differential diagnosis of testicular torsion and epidydimitis/epidydimo-orchitis. There is only one interesting image on leukemic infiltration with scrotal scintigraphy in the literature. The aim of this case presentation is to report that although the scintigraphic appearance of testicular torsion was observed in a patient with the diagnosis of ALL, testicular ALL infiltration was revealed in pathologic examination. Conflict of interest:None declared.

The applied value of medical history, physical examination, colour-Doppler ultrasonography and testis scintigraphy in the differential diagnosis of acute scrotum

“…It also stresses the importance of the medical history in the process of diagnosing TT. When imaging suggests a possible testicular torsion, the aetiology may actually be inguinal ring compressed by incarcerated inguinal hernia, entrapped spermatic vessels by scar tissue after inguinal surgery and testicular vessel embolisation by a tumour thrombus (Eren, Koc, Oren, Ozkal, & Durak, ; Koc, Onur, & &Balci, ).…”