Surveillance Strategy for Intratesticular Cysts: Preliminary Report

Kratzik, Christian; Hainz, A; Kuber, W.; Donner, G; Lunglmayr, G; Frick, J; Schmoller, H; Amann, Gabriele

doi:10.1016/s0022-5347(17)39943-3

Cited by 30 publications

(22 citation statements)

References 10 publications

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“…However, there is clearly a significant risk of unnecessary removal of a normal testis if no malignancy is actually detected. In addition, there are reports of organ-preserving procedures for benign disease by enucleation,2,7 in which follow-up revealed no evidence of recurrence 3. However, organ-preserving removal of a small (1 to 2 mm) cyst might be technically demanding, especially if the location is central.…”

Section: Discussionmentioning

confidence: 99%

Multiple Intratesticular Cysts

Kang

Hwang

Lee

et al. 2013

World J Mens Health

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Intratesticular cysts, once thought to be a rarity, are now being reported with an increasing prevalence as a result of the wider use of scrotal ultrasound scanning. Despite greater understanding of intratesticular cysts, their management remains unclear. Treatment has included enucleation and even radical orchiectomy over fear of the possibility of an associated malignancy. A more conservative approach with serial ultrasound scanning has been advocated if a clear distinction can be made between neoplastic and non-neoplastic testicular cysts. However, in view of the benign nature of such cysts, even repeated ultrasound scanning may not be necessary and may be considered over-treatment. In this study we present clinical and morphological characteristics of multiple cysts in the right testicle in a 62-year-old patient, where a slightly nodular lesion in the right testicle was detected.

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Section: Discussionmentioning

confidence: 99%

Multiple Intratesticular Cysts

Kang

Hwang

Lee

et al. 2013

World J Mens Health

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show abstract

Section: Discussionmentioning

confidence: 99%

“…Surgical treatments have ranged from simple enucleation to radical orchidectomy [2,3]. An organ preserving operation for a small cyst can be a difficult task and intraoperative localization can sometimes be done only via intraoperative ultrasound [3]. In most series where intratesticular cysts have been reported, when preoperative ultrasonography had been performed, the sonographic diagnosis of simple cyst was confirmed in the surgical specimen [1,3,9].…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography of simple intratesticular cysts: a 13 year experience in a single centre

et al. 2011

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ObjectivesSimple intratesticular cysts are being reported more commonly due to the wider use of scrotal ultrasonography however, their management remains unclear. Treatment has included enucleation, radical orchidectomy (over fear of an associated malignancy) and a more conservative approach with serial ultrasonography (if a neoplastic cyst is clearly ruled out). In view of the benign nature of such cysts, even serial ultrasonography may be unnecessary. We evaluate the presentation, diagnosis and management of ultrasound-detected simple intratesticular cysts over a 13-year period.MethodsBetween May 1994 and August 2007, 24 men were found to have simple intratesticular cysts on scrotal ultrasonography. Records were analysed retrospectively to identify the clinicoradiologic findings and the management.ResultsMedian follow up was 29.5 months (range 4 - 108 months). Only one patient became symptomatic with a cyst which increased in size by 13 mm over 15 months. Orchidectomy performed at the patient's request confirmed a benign simple cyst.ConclusionsIn our series, a significant change in size of the cyst with accompanying symptoms was observed in one case only. Asymptomatic patients with simple intratesticular cysts without associated features of bias towards malignancy can be discharged without need for further follow-up.

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“…Obviously, this "watch and wait" strategy is a good choice for patients with asymptomatic cyst both for infant type and for adult type. Kratzik et al (1990) emphasized the importance of performing multiple transverse and horizontal scans for diagnosing simple testicular cyst because not every lesion without internal echoes in the testis is a simple testicular cyst (Kratzik et al, 1990). This might be more important for patients who decide on a "watch and wait" strategy.…”

Section: Discussionmentioning

confidence: 99%

Strategy for Treating Simple Testicular Cyst in Adults

et al. 2010

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Simple testicular cyst is increasingly diagnosed because of the general availability of high-resolution ultrasound devices, although its management has been controversial. The authors report their experiences in managing large simple testicular cyst in two adults aged 56 and 68 years. The first patient was hospitalized with a presumptive diagnosis of left hydrocele, and the second patient was hospitalized with left simple testicular cyst. Both patients felt pain in the left scrotum. The maximum diameter of the cyst in both patients was more than 6 cm. The patients were successfully treated with orchiectomy with very good long-term results. The authors indicate that a careful study of the medical history, physical examination, and scrotal ultrasonography may facilitate an accurate preoperative diagnosis. Age, symptom, compliance with the surveillance of the patient, and the size and dynamic ultrasonographic changes of the cyst should all be considered in the selection of the treatment regimen. Such a study may be helpful in managing a simple testicular cyst.

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Surveillance Strategy for Intratesticular Cysts: Preliminary Report

Cited by 30 publications

References 10 publications

Multiple Intratesticular Cysts

Multiple Intratesticular Cysts

Ultrasonography of simple intratesticular cysts: a 13 year experience in a single centre

Strategy for Treating Simple Testicular Cyst in Adults

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