Sonographic Features of an Adult Granulosa Cell Tumor of the Testis

Abstract

A 25-year-old man presented with epididymoorchitis. Sonography revealed a 5 mm hypoechoic lesion with scattered foci of high level echoes and an area of calcification in the upper pole of the left testicle close to the hilum. Growth and pronounced neovascularity was demonstrated a subsequent scan. An orchidectomy was performed and histological studies revealed a granulosa cell tumour of the testicle. Testicular granulosa cell tumors are extremely rare. Comparing the previously published findings to our case, we suggest that common sonographic features of testicular granulosa cell tumors include a hypoechoegenic lesion with hyperechoic and calcified foci, sharply defined edge, and internal vascularity.

Adult granulosa cell tumour of the testis: an uncommon tumour

“…Additionally, AGCTT tumours have presented as incidental findings following metastatic spread to the liver, bones and retroperitoneal lymph nodes 5. For non-metastatic tumours, the longest recorded time frame of symptoms before diagnosis was approximately 37 years with the shortest duration after just 2 weeks of pain 12 13. As of now, age has not been found to be a predictive variable for differentiation between benign and metastatic AGCTT, and this case can be used to bolster existing cases regarding non-metastatic tumours.…”

Adult Granulosa Cell Tumor of the Testis: A Case Report with a Review of the Literature

“…Our patient presented with unspecific scrotal symptoms that were not related to the tiny testicular tumor that was only detected with ultrasonography. Sonographic features were frequently reported and typically involve hypoechoic well circumscribed masses with positive color-coded sonographic signals [37, 49]. But anechoic areas corresponding to cystic parts of the tumor have also been observed [7, 52].…”