The Ultrasound Investigation of Scrotal Swelling

Micallef, Michael; Torreggiani, William C.; Hurley, M; Dinsmore, W W; Hogan, Brendan

doi:10.1177/095646240001100505

Cited by 23 publications

(15 citation statements)

References 10 publications

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“…Approximately 85% of asymptomatic men in a series of 40 volunteers who underwent scrotal US had minimal amounts of fluid in one hemiscrotum but no hydrocele (37). A hydrocele is an abnormally large collection of serous fluid and is the most common cause of painless scrotal swelling (38). A hydrocele may develop for a variety of reasons, including trauma, infection, testicular torsion, or tumor, or it may be idiopathic.…”

Section: Hydrocele Hematocele and Pyocelementioning

confidence: 98%

Sonography of the Scrotum

Dogra¹,

Gottlieb²,

Oka³

et al. 2003

Radiology

621

555

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Ultrasonography (US) with a high-frequency (7.5-10-MHz) transducer has become the imaging modality of choice for examination of the scrotum. US examination can provide information valuable for the differential diagnosis of a variety of disease processes involving the scrotum that have similar clinical manifestations (eg, pain, swelling, or presence of mass). The pathologic condition that may be at the origin of such symptoms can vary from testicular torsion to infection to malignancy. The ability of color and power Doppler US to demonstrate testicular perfusion aids in reaching a specific diagnosis in patients with acute scrotal pain. This review covers the anatomy of the scrotum and the scanning protocol for scrotal US, as well as detailed descriptions of disease processes and their US appearances. Newly described conditions such as intratesticular varicoceles and other benign intratesticular cystic lesions are also discussed.

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Section: Hydrocele Hematocele and Pyocelementioning

confidence: 98%

Sonography of the Scrotum

Dogra¹,

Gottlieb²,

Oka³

et al. 2003

Radiology

621

555

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“…50 Congenital hydroceles occur when there is incomplete closure of the processus vaginalis and peritoneal fluid accumulates in the sac; these patients are at increased risk for developing an indirect inguinal hernia. Acquired hydroceles form as a reaction to infection, trauma, testicular torsion, or tumors.…”

Section: Extratesticular Scrotal Masses Tunica Vaginalismentioning

confidence: 99%

Ultrasonography Evaluation of Scrotal Masses

Sommers

Winter

2014

Radiologic Clinics of North America

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“…The differential diagnosis of primary testicular osteosarcoma includes sarcomatous transformation of germ cell tumors and undifferentiated sex-cord/stromal tumors and Leydig cell tumors with unusual features [4,9,10,16]. The tumor of the present case was composed of pure osteoid-forming malignant cells without any other neoplastic component in whole sampling of the tumor.…”

Section: Discussionmentioning

confidence: 93%

“…Hydrocele is the most common cause of scrotal swelling [9]. Intratesticular tumors may be associated with hydrocele [1,13].…”

Section: Discussionmentioning

confidence: 99%

Primary testicular osteosarcoma with hydrocele

Lee

Choi

2004

Virchows Arch

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Primary testicular osteosarcoma is an extremely rare malignancy. To date, only two cases have been reported. Here, we report a third case of primary testicular osteosarcoma complicated with hydrocele. A 78-year-old man presented with right scrotal swelling. Ultrasonography revealed hydrocele and a testicular heterogeneous solid mass with focal calcification in the right testis. Right inguinal orchiectomy revealed a pure intratesticular osteosarcoma. Retroperitoneal lymph-node dissection revealed no metastasis. Thorough sampling of the tumor failed to show any additional histological components. It is unlikely that our case arose from teratoma or mixed sex-cord/stromal tumor, because no other neoplastic elements were identified in whole sampling of the tumor. He remained well without evidence of disease 44 months after operation. This case illustrates that primary pure testicular osteosarcoma may be associated with a favorable prognosis.

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The Ultrasound Investigation of Scrotal Swelling

Cited by 23 publications

References 10 publications

Sonography of the Scrotum

Sonography of the Scrotum

Ultrasonography Evaluation of Scrotal Masses

Primary testicular osteosarcoma with hydrocele

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