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World Journal of Urology

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01-08-2018 | Original Article

Should we rely on Doppler ultrasound for evaluation of testicular solid lesions?

Authors: Baris Esen, Muhiddin Önder Yaman, Sümer Baltacı

Published in: World Journal of Urology | Issue 8/2018

Abstract

Purpose

Colour Doppler ultrasound (CDUS) is the main radiologic tool to evaluate scrotal masses and intratesticular-vascularised solid lesions are mostly considered malign lesions. Objective of this trial is determine ratio of benign lesions in patients with hypervascularised solid intratesticular lesions.

Material and method

Patients who underwent radical orchiectomy due to hypervascularised intratesticular solid lesions detected in CDUS are evaluated retrospectively. Those with previous testicular cancer history and inguinal/scrotal surgeries were excluded from the study. All patients are evaluated for age, preoperative testicular atrophy, multicentricity, echotexture and size of solid lesions, preoperative tumor markers (AFP, bHCG and LDH), and postoperative pathology results. Two tailed p value test was used to evaluate numeric parameters and Fisher’s exact test was used to evaluate non-numeric parameters.

Results

A total of 117 patients with a mean age of 35.9 (5–86) were included to the study. Mean size of solid lesions was 4.39 cm. Seven patients had subcentimeter (subcm) lesions. 101 patients had hypoechoic, ten patients had isoechoic and six patients hyperechoic solid lesions. Preoperatively 60 patients (51.2%) had at least one tumor marker elevated. Postoperative pathology examination resulted to; 21 patients (17.9%) had benign lesions. Elevation of tumor markers, palpability, hypoechoic texture and larger size of the solid lesion were found to be parameters that predict malignancy.

Conclusion

Benign incidence of vascular testicular solid lesions detected with scrotal ultrasound with colour Doppler is greater than expected. In patients with smaller, non-palpable lesions without elevated tumor markers, treatment options other than radical orchiectomy such as testicular sparing surgery should be considered.

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Title: Should we rely on Doppler ultrasound for evaluation of testicular solid lesions?
Authors: Baris Esen
Muhiddin Önder Yaman
Sümer Baltacı
Publication date: 01-08-2018
Publisher: Springer Berlin Heidelberg
Published in: World Journal of Urology / Issue 8/2018
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-018-2273-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Should we rely on Doppler ultrasound for evaluation of testicular solid lesions?

Abstract

Purpose

Material and method

Results

Conclusion

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Springer Medicine

Abstract

Purpose

Material and method

Results

Conclusion

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