Radiology, Vol 157, 775-780, Copyright © 1985 by Radiological Society of North America

ARTICLES

Testicular neoplasms: 29 tumors studied by high-resolution US

JG Grantham, JW Charboneau, EM James, RJ Kirschling, LK Kvols, JW Segura and LE Wold

High-resolution (10-MHz) ultrasonography produces extremely detailed anatomic images of the testis. The sonographic features most helpful in detecting tumors are mass, bright echogenic foci, and diffuse parenchymal texture change. Of 29 patients with testicular neoplasms, 21 (72%) had one or more masses, 19 (66%) had one or more echogenic foci, and nine (31%) had a diffuse parenchymal texture change. Bright echogenic foci were present in six (86%) of seven testes that had a regressed germ-cell tumor. In an attempt to define the histologic features of bright echogenic foci, we performed needle localization under real-time guidance on four operative specimens. We observed immature bone and cartilage, calcification, tubular atrophy and fibrosis, and focal noncalcific scarring. Discovery of occult testicular neoplasms was common (9/29); four patients were thought to have had "extragonadal" germ-cell tumors before abnormalities were found on the sonograms.

This article has been cited by other articles:

				G C Fernandez, F Tardaguila, C Rivas, C Trinidad, D Pesqueira, E Zungri, and P San Miguel MRI in the diagnosis of testicular Leydig cell tumour Br. J. Radiol., June 1, 2004; 77(918): 521 - 524. [Abstract] [Full Text] [PDF]

				E. Y. Kao and E. O. Gerscovich Benign Testicular Lobulation: Sonographic Findings J. Ultrasound Med., March 1, 2003; 22(3): 299 - 301. [Full Text] [PDF]

				D. D. Casalino and R. Kim Clinical Importance of a Unilateral Striated Pattern Seen on Sonography of the Testicle Am. J. Roentgenol., April 1, 2002; 178(4): 927 - 930. [Abstract] [Full Text] [PDF]

				L H Bushby, F N A C Miller, S Rosairo, J L Clarke, and P S Sidhu Scrotal calcification: ultrasound appearances, distribution and aetiology Br. J. Radiol., March 1, 2002; 75(891): 283 - 288. [Abstract] [Full Text] [PDF]

				P. J. Woodward, R. Sohaey, M. J. O'Donoghue, and D. E. Green From the Archives of the AFIP: Tumors and Tumorlike Lesions of the Testis: Radiologic-Pathologic Correlation RadioGraphics, January 1, 2002; 22(1): 189 - 216. [Abstract] [Full Text] [PDF]

				S Sriprasad, G G Kooiman, G H Muir, and P S Sidhu Acute segmental testicular infarction: differentiation from tumour using high frequency colour Doppler ultrasound Br. J. Radiol., October 1, 2001; 74(886): 965 - 967. [Abstract] [Full Text] [PDF]

				R. D. Harris, C. Chouteau, M. Partrick, and A. Schned Prevalence and Significance of Heterogeneous Testes Revealed on Sonography: Ex Vivo Sonographic--Pathologic Correlation Am. J. Roentgenol., August 1, 2000; 175(2): 347 - 352. [Abstract] [Full Text] [PDF]

				A. M. Bach, J. Sheinfeld, and L. E. Hann Abnormal Testis at US in Patients after Orchiectomy for Testicular Neoplasm Radiology, May 1, 2000; 215(2): 432 - 436. [Abstract] [Full Text]