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Downloaded from http://journals.lww.com/ultrasound-quarterly by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/10/2020 PICTORIAL ESSAY Scrotal Pearls and Pitfalls Ultrasound Findings of Benign Scrotal Lesions Ashish P. Wasnik, MD, Katherine E. Maturen, MD, Sundeep Shah, MBBS, FRCR, Amit Pandya, MD, Jonathan M. Rubin, MD, PhD, and Joel F. Platt, MD join the epididymis. Dilation of these ducts is termed tubular Abstract: Scrotal symptoms including palpable mass or pain often ectasia (Fig. 2). Tubular ectasia is usually bilateral and bring men to medical attention. Ultrasound serves as an extension of asymmetric, manifesting as tubular fluid-filled structures the physical examination in these patients and, in most cases, allows adjacent to the mediastinum testis without any soft tissue ele- definitive diagnosis. Although the diagnosis of malignancy is of ment or mass effect. It is usually associated with spermatocele. greatest concern both to the patient and clinician, a number of benign This is a benign lesion and requires no further follow-up. scrotal pathologies exist and most have characteristic imaging fea- Testicular epidermoid cysts (Fig. 3) are rare benign tures. Knowledge of these imaging findings can help the radiologist testicular neoplasms of germ cell origin, composed of strati- to confidently identify common benign scrotal conditions. Location fied squamous epithelium and
Ultrasound quarterly – Wolters Kluwer Health
Published: Dec 1, 2012
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