Ultrasonographic assessment of the scrotum

Ultrasonography has a near 100% sensitivity for detecting testicular tumours, which are seen primarily as a hypoechoic lesions. Nearly all testicular tumours are malignant, whereas most extratesticular masses are benign.' Testicular tumours, which are found in one in 14 000 men,3 represent only...

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Bibliographic Details
Published in:The Lancet (British edition) 2000-11, Vol.356 (9242), p.1625-1626
Main Authors: Dohle, GR, Schröder, FH
Format: Article
Language:English
Subjects:
Humans
Infertility
Lesions
Longitudinal studies
Male
Medical screening
Men
Reproductive system
Scrotum - diagnostic imaging
Testicular Diseases - diagnostic imaging
Tumors
Ultrasonic imaging
Ultrasonography
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Summary:Ultrasonography has a near 100% sensitivity for detecting testicular tumours, which are seen primarily as a hypoechoic lesions. Nearly all testicular tumours are malignant, whereas most extratesticular masses are benign.' Testicular tumours, which are found in one in 14 000 men,3 represent only 1% to 2% of malignant tumours in men. However, testicular cancers are common among young men, and the risk is increased for men with a history of cryptorchidism or infertility. Among infertile men the prevalence of testicular tumours is 0-5%.4 Surgical exploration is recommended for all hypoechoic testicular lesions. There is controversy over whether ultrasonographic surveillance is needed for patients with testicular microlithiasis. In 45% of cases of testicular cancer, microlithiasis is presents so annual ultrasonography is probably advisable in cases of testicular microlithiasis without hypoechoic lesions, although longitudinal studies have so far not shown a trend towards malignant degeneration.6
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(00)03153-6