scrotum echo
DESCRIPTION
quick view for the greenhorn urologistTRANSCRIPT
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Scrotum echo
Ultrasound Quarterly 2004;20:181-200
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Seminoma
Most commonMost well marginatedMost hypoechoiecNo cyst or calcifications
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Microlithiasis was thought to
Be related to SEMINOMAIn the patient,There is no obvious mass or hypoechoiec lesion in the echo
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Embryonal cell carcinoma
InhomogenousPoorly marginatedCystic lesions
>>check lab
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teratoma
Most teratoma + embryonal carcinomaWell defined but heterogenous textureCyst: +, calcifications:+
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Benign testicular condition
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Cyst of tunica albugineaMaybe in the testis or extra-
testis, almost less than 2cm
Maybe multifocal
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Tubular ectasiaof the rete testis>>
Multiple dilated tubular structure in the mediastinum testis
No flow
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Testicular abscess:Combined with UTIComplications of torsion, testicular hemorrhage, secondary to trauma
Clinical finding:Fever and leukocytosis
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torsion
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• In the first 6 hrs, testis would become heterogenous hypoechoiec echo pattern
• Nuclear flow was used but not clinical used in some hospital.
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Testicular microlithiasis
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Testis microlithiasis
• If the calcifications more than 5 spots and measure 1-2mm per spots, microlithiasis is impressed.
• Testis microlithiasis is related to the testis malignancy
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Epididymitis/epididymo-orchitis
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Chronic epididymo-orchitis
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• Chronic epididymitis result from acute incomplete treatment or tuberculosis
• Coarse calcifications and thickening of the tunica albuginea was noted
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Spermatocele
Sperm fluid accumulation:Sometimes occur especially in the post vasectomy syndrome
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hydrocele
Scrotum and peritoneum persistent communication
Processus vaginalis:Resolved by 1.5 years
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Dilated, tortuous vein in the pampiniformplexus near the spermatic cords
>>Imcomplete valves were noted
Dilated vessels and reflux of flow were noted
VARICOCELE
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SCROTAL HERNIA