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Keywords:
Genital / Reproductive system male, Ultrasound, Contrast agent-intravenous, Neoplasia
Authors:
B. Corcioni, C. Gaudiano, F. Busato, C. V. Pultrone, R. Schiavina, R. Golfieri; Bologna /IT
DOI:
10.1594/ecr2015/C-2542
Results
The diagnosis was incidental in asymptomatic patients. Neoplastic markers were negative in all pts.
Table 1 shows global data of the clinical and pathologic characteristics of the whole patient population.
Pre-operative sonographic patterns for the individual patients are presented in Table 2.
Sonographic appearance of testicular lesions was heterogeneous with a prevalence of hypoecoic pattern.
Color Doppler signals of the STMs resulted absent except three cases.
CEUS showed lesional absence of contrast enhancement in 2 lesions (Fig.
1),
progressive and weak contrast enhancement in 4 cases (Fig.
2),
early hyperenhancement followed by iso-enhancement in 5 cases (Fig.
3,
4) and marked hyperenhancement followed by wash out in 5 pts (fig.
5,
6).
At final pathologic analysis the lesions above corresponded respectively to: epidermoid cyst,
inflammation,
seminoma,
leydigioma.
11 pts underwent TSS while all 5 cases of seminoma had radical orchiectomy.
At 12 months US follow-up all patients underwent TSS were free of disease.