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CEUS Scrotum: Benign Lesions
Cheng Fang, BSc (Hons), MBBS, FRCR; Dean Huang, FRCR, EBIR; Paul S. Sidhu, BSc, MBBS, MRCP, FRCR, DTM&H
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KEY FACTS

  • General Discussion

    • Imaging

      PATHOLOGY

      • Intratesticular Benign Lesions

        • Extratesticular Benign Lesions

          IMAGING

          • US Findings

            • CEUS Findings

              • Imaging Recommendations

                • Best Diagnostic Clue

                  DIFFERENTIAL DIAGNOSIS

                  • Spermatocele vs. Epididymal Cyst

                    • Larger Cysts (Either True Cysts or Spermatoceles) vs. Hydroceles

                      • Ectasia of Rete Testes vs. Intratesticular Varicocele

                        • Epididymal cyst vs. Spermatocele, Tunical Cyst, Small Hydrocele

                          • Sarcoidosis vs. Small Malignant Tumors

                            • Lipoma vs. Liposarcoma

                              DIAGNOSTIC CHECKLIST

                              • Reporting Tips

                                Selected References

                                1. Rafailidis V et al: Sonographic imaging of extra-testicular focal lesions: comparison of grey-scale, colour Doppler and contrast-enhanced ultrasound. Ultrasound. 24(1):23-33, 2016
                                2. Wolfman DJ et al: Mesenchymal extratesticular tumors and tumorlike conditions: from the Radiologic Pathology Archives. Radiographics. 35(7):1943-54, 2015
                                3. Huang DY et al: Focal testicular lesions: colour Doppler ultrasound, contrast-enhanced ultrasound and tissue elastography as adjuvants to the diagnosis. Br J Radiol. 85 Spec No 1:S41-53, 2012
                                4. Mirochnik B et al: Ultrasound evaluation of scrotal pathology. Radiol Clin North Am. 50(2):317-32, vi, 2012
                                5. Patel K et al: Features of testicular epidermoid cysts on contrast-enhanced sonography and real-time tissue elastography. J Ultrasound Med. 31(1):115-22, 2012
                                6. Kim W et al: US MR imaging correlation in pathologic conditions of the scrotum. Radiographics. 27(5):1239-53, 2007
                                7. Tsili AC et al: MRI in the histologic characterization of testicular neoplasms. AJR Am J Roentgenol. 189(6):W331-7, 2007
                                8. Akbar SA et al: Multimodality imaging of paratesticular neoplasms and their rare mimics. Radiographics. 23(6):1461-76, 2003
                                9. Dogra VS et al: Sonography of the scrotum. Radiology. 227(1):18-36, 2003
                                10. Woodward PJ et al: From the archives of the AFIP: extratesticular scrotal masses: radiologic-pathologic correlation. Radiographics. 23 (1):215-40, 2003
                                11. Woodward PJ et al: From the archives of the AFIP: tumours and tumorlike lesions of the testis:radiologic-pathologic correlation. Radiographics. 22(1):189-216, 2002
                                12. Sellars ME et al: Pictorial review: ultrasound appearances of the rete testis. Eur J Ultrasound. 14(2-3):115-20, 2001
                                13. Frates MC et al: Solid extratesticular masses evaluated with sonography: pathologic correlation. Radiology. 204(1):43-6, 1997
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • General Discussion

                                  • Imaging

                                    PATHOLOGY

                                    • Intratesticular Benign Lesions

                                      • Extratesticular Benign Lesions

                                        IMAGING

                                        • US Findings

                                          • CEUS Findings

                                            • Imaging Recommendations

                                              • Best Diagnostic Clue

                                                DIFFERENTIAL DIAGNOSIS

                                                • Spermatocele vs. Epididymal Cyst

                                                  • Larger Cysts (Either True Cysts or Spermatoceles) vs. Hydroceles

                                                    • Ectasia of Rete Testes vs. Intratesticular Varicocele

                                                      • Epididymal cyst vs. Spermatocele, Tunical Cyst, Small Hydrocele

                                                        • Sarcoidosis vs. Small Malignant Tumors

                                                          • Lipoma vs. Liposarcoma

                                                            DIAGNOSTIC CHECKLIST

                                                            • Reporting Tips

                                                              Selected References

                                                              1. Rafailidis V et al: Sonographic imaging of extra-testicular focal lesions: comparison of grey-scale, colour Doppler and contrast-enhanced ultrasound. Ultrasound. 24(1):23-33, 2016
                                                              2. Wolfman DJ et al: Mesenchymal extratesticular tumors and tumorlike conditions: from the Radiologic Pathology Archives. Radiographics. 35(7):1943-54, 2015
                                                              3. Huang DY et al: Focal testicular lesions: colour Doppler ultrasound, contrast-enhanced ultrasound and tissue elastography as adjuvants to the diagnosis. Br J Radiol. 85 Spec No 1:S41-53, 2012
                                                              4. Mirochnik B et al: Ultrasound evaluation of scrotal pathology. Radiol Clin North Am. 50(2):317-32, vi, 2012
                                                              5. Patel K et al: Features of testicular epidermoid cysts on contrast-enhanced sonography and real-time tissue elastography. J Ultrasound Med. 31(1):115-22, 2012
                                                              6. Kim W et al: US MR imaging correlation in pathologic conditions of the scrotum. Radiographics. 27(5):1239-53, 2007
                                                              7. Tsili AC et al: MRI in the histologic characterization of testicular neoplasms. AJR Am J Roentgenol. 189(6):W331-7, 2007
                                                              8. Akbar SA et al: Multimodality imaging of paratesticular neoplasms and their rare mimics. Radiographics. 23(6):1461-76, 2003
                                                              9. Dogra VS et al: Sonography of the scrotum. Radiology. 227(1):18-36, 2003
                                                              10. Woodward PJ et al: From the archives of the AFIP: extratesticular scrotal masses: radiologic-pathologic correlation. Radiographics. 23 (1):215-40, 2003
                                                              11. Woodward PJ et al: From the archives of the AFIP: tumours and tumorlike lesions of the testis:radiologic-pathologic correlation. Radiographics. 22(1):189-216, 2002
                                                              12. Sellars ME et al: Pictorial review: ultrasound appearances of the rete testis. Eur J Ultrasound. 14(2-3):115-20, 2001
                                                              13. Frates MC et al: Solid extratesticular masses evaluated with sonography: pathologic correlation. Radiology. 204(1):43-6, 1997