Association of Torsion With Testicular Cancer: A Retrospective Study

Uguz, Sami; Yılmaz, Sercan; Gürağaç, Ali; Topuz, Bahadır; Aydur, Emin

doi:10.1016/j.clgc.2015.09.014

Cited by 15 publications

(12 citation statements)

References 8 publications

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“…However, to the best of our knowledge, the causes of the absence of blood flow in the testis detected by CDU have not been fully investigated. The present study is the first report to fully investigate the causes, and has the largest study population cohort compared to previous studies [6][7][8].…”

Section: Discussionmentioning

confidence: 99%

“…However, the absence of blood flow in the testis detected by CDU can be misdiagnosed as testicular fracture, and this has been reported [6]. Additionally, the ultrasonographic appearances of a tumor of the testis or testicular infarction caused by inflammation may mimic testicular torsion [7][8]. Although those reports [6][7][8] indicated that testicular torsion was not the only cause for absent blood flow (ABF) in the testis detected by CDU, the full investigation of the causes for ABF in the testis detected by CDU has not been reported to date.…”

mentioning

confidence: 99%

“…Additionally, the ultrasonographic appearances of a tumor of the testis or testicular infarction caused by inflammation may mimic testicular torsion [7][8]. Although those reports [6][7][8] indicated that testicular torsion was not the only cause for absent blood flow (ABF) in the testis detected by CDU, the full investigation of the causes for ABF in the testis detected by CDU has not been reported to date. Thus, our aim was to fully investigate the causes of ABF in the testis detected by CDU, while the differential diagnosis and clinical value were also evaluated.…”

mentioning

confidence: 99%

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Absent Blood Flow in the Testis on Color Doppler Ultrasound: The Causes, Differential Diagnosis and Clinical Value

Chen¹,

Chen²

2020

Advanced Ultrasound in Diagnosis and Therapy

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To investigate the causes, differential diagnosis, and clinical significance of absent blood flow (ABF) in the testis detected by color Doppler ultrasound (CDU) in acute scrotum.Methods: A total of 263 patients with ABF in the testis detected by CDU in our hospital were reviewed retrospectively. However, only 111 patients who underwent surgery were included in this study. The ultrasonographic features of the testis and paratesticular tissue were analyzed. The surgical or surgical-pathologic results were taken as the reference standard to determine the causes of ABF in the testis. Results:The causes of ABF in the testis were testicular torsion (n = 98, torsion group) and non-testicular torsion related diseases (n = 13, non-torsion group, including 8 testicular rupture, 3 epididymitis-orchitis combination with testicular necrosis, and 2 tumors). Tunica albuginea of the testis, diffuse enlarged epididymis, whirlpool sign, and internal echo of the testis were the better parameters for diagnosing the causes of ABF in the testis detected by CDU. And the accuracies of these approaches were 93.7%, 91%, 83.8%, and 81.1%, respectively. Whirlpool sign had a 100% positive predictive value (PPV), and disrupted tunica albuginea of the testis and diffuse enlarged epididymis each had 100% specificity for predicting testicular torsion. When the ultrasonographic findings were combined with these methods to determine the causes, the accuracy was 96.4% (107/111). Conclusion:ABF in the testis detected by CDU is not always indicative of testicular torsion in acute scrotum; Analyzing ultrasound findings of the testis and paratesticular tissue can help with differential diagnosis of the causes of ABF in the testis and guide clinical decision-making.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Absent Blood Flow in the Testis on Color Doppler Ultrasound: The Causes, Differential Diagnosis and Clinical Value

Chen¹,

Chen²

2020

Advanced Ultrasound in Diagnosis and Therapy

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“…This is thought to be secondary to a relative increase in the broadness of the affected testicle compared with its blood supply. However, in a review of 32 patients who had been diagnosed with testicular torsion, testicular cancer was found in 2 of the 20 patients who had undergone orchiectomy, a rate of 6.4% [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Testicular cavernous hemangioma associated with testicular torsion – case report and review of literature

Tepeneu

Krafka

Meglic

et al. 2018

International Journal of Surgery Case Reports

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HighlightsTesticular hemangioma is exceedingly rare and typically occurs in patients younger than 20 years.Hemangiomas of the testis have a similar sonographic and magnetic resonance imaging appearance to that of malignant tumors of the testis, especially seminoma.Clinicians and pathologists must be aware of the rare entity of testicular hemangiomas, as clinical examination and imaging studies do not often suffice to arrive at a correct diagnosis.The association of testicular torsion with testicular hemangioma is a rarity in children.

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“…Furthermore, there is no established evidence yet supporting the etiology of torsion to be a testicular malignancy and vice versa. In a large retrospective case series done between 2003 and 2015 the association between testicular torsion and malignancy was found to be 6.4%, no etiological or histological evidence could be established rather than to describe it as an incidental finding [ 13 ]. Radiological evaluation could mask the diagnosis of malignancy especially with large edematous cord and testes.…”

Section: Discussionmentioning

confidence: 99%

Intra-scrotal testicular torsion of a classical seminoma in an elderly patient: a case report and literature review

Alrabeeah

Aljuhayman

Abumelha

et al. 2017

Journal of Surgical Case Reports

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Intra-scrotal testicular torsion of a seminoma is extremely rare and has been reported scarcely in literature. On the other hand testicular torsion by itself is rare in old age as well. We report a 63-year-old male who was presented to our Emergency Department with a right scrotal swelling and pain for 1 week. The patient had intra-scrotal testicular torsion of a seminoma which was overlooked initially by Doppler ultrasound, progression of symptoms led to a computed tmomgraphy scan which showed a testicular torsion. Intra-operative findings showed a torsed right testis with completely engorged cord. Right radical orchiectomy was done and indecently histopathology revealed a classical seminoma. Urologist should be aware and more vigilant of testicular torsion as a presentation of malignancy in old age especially with the presence of diagnostic limitations.

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Association of Torsion With Testicular Cancer: A Retrospective Study

Cited by 15 publications

References 8 publications

Absent Blood Flow in the Testis on Color Doppler Ultrasound: The Causes, Differential Diagnosis and Clinical Value

Absent Blood Flow in the Testis on Color Doppler Ultrasound: The Causes, Differential Diagnosis and Clinical Value

Testicular cavernous hemangioma associated with testicular torsion – case report and review of literature

Intra-scrotal testicular torsion of a classical seminoma in an elderly patient: a case report and literature review

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