Volume : 5, Issue : 8, August - 2016

Testicular ultrasound in the prediction of type and size of testicular tumours.

Dr. Ravindra Alurwar, Dr. Mrs Pallavi Alurwar, Dr. Pranay Gandhi

Abstract :

<p>&nbsp;Objectives: To study the correlation between US findings and testicular tumor type and size. Methods: The study included patients who underwent orchiectomy between 2000 and 2010. Their charts were reviewed for US echogeneity, lesion size, pathological dimensions, histology, and the presence of calcifications, fiosis, necrosis and/or intraepithelial neoplasia and were statistically compared. Results: Eighty five patients fulfilled the inclusion criteria, 71 malignant (43 SGCT, 28 NSGCT) and 14 benign. Sonographic lesions were at least 20% smaller than the pathologically determined dimensions in 21 (25%) patients. The ability of US in estimating the size of malignant tumors was 71%, compared to 100% of benign tumors (p=0.03). Conclusions: Testis US of malignant lesions underestimates the size in 25% of the cases, a fact that may impact on the decision of testicular sparing surgery</p>