Ultrasound and Color Doppler Flow Imaging of Paratesticular Leiomyoma

ObjectiveIn this paper, we retrospectively analyzed the ultrasonographic features of paratesticular leiomyoma to help doctors correctly diagnose the disease before operation and guide surgical treatment. Methods From 2013 to 2020, 16 cases of paratesticular leiomyomas confirmed by pathology in our h...

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Main Author: Nianyu Xue, MM, Yaya Chen, MD, Guoyao Wang, BS, Shengmin Zhang, BS
Format: Article
Language:English
Published: Editorial Office of Advanced Ultrasound in Diagnosis and Therapy 2022-09-01
Series:Advanced Ultrasound in Diagnosis and Therapy
Subjects:
Online Access:http://www.journaladvancedultrasound.com:81/fileup/2576-2516/PDF/1659941749311-1892160019.pdf
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author Nianyu Xue, MM, Yaya Chen, MD, Guoyao Wang, BS, Shengmin Zhang, BS
author_facet Nianyu Xue, MM, Yaya Chen, MD, Guoyao Wang, BS, Shengmin Zhang, BS
author_sort Nianyu Xue, MM, Yaya Chen, MD, Guoyao Wang, BS, Shengmin Zhang, BS
collection DOAJ
description ObjectiveIn this paper, we retrospectively analyzed the ultrasonographic features of paratesticular leiomyoma to help doctors correctly diagnose the disease before operation and guide surgical treatment. Methods From 2013 to 2020, 16 cases of paratesticular leiomyomas confirmed by pathology in our hospital were retrospectively analyzed. The retrospective analysis included the ultrasound and color Doppler flow imaging (CDFI) of paratesticular leiomyoma which were evaluated by two experienced radiologists based on the features of ultrasound images of lesions. Results All the 16 paratesticular leiomyoma presented as hypoechoic masses with a clear boundary and round shape. The echotexture of 6 large leiomyomas showed a typical vortex appearance. In the remaining 10 small leiomyomas, thin cord-like hyper-echogenic appearance was found. Color Doppler flow imaging showed that the blood flow signal within a large leiomyoma mass (n = 1) was significantly higher than that of surrounding testis while the blood flow signals of the smaller leiomyomas (n = 5) had significantly less flow signals compared with the testis. The remaining leiomyoma masses (n = 10) had similar flow signals to the testicular blood flow. Conclusion Sonography can be used to detect testicular tumors and to differentiate extratesticular from intratesticular masses. The ultrasound features of paratesticular leiomyoma included hypo- and hyperechoic mass, a round or typical vortex shape as well as various vascularity based on the size of the tumors.
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spelling doaj.art-50a5fc882f7c42be869b248a2d5218cd2022-12-22T02:49:03ZengEditorial Office of Advanced Ultrasound in Diagnosis and TherapyAdvanced Ultrasound in Diagnosis and Therapy2576-25162022-09-016311912110.37015/AUDT.2021.210022Ultrasound and Color Doppler Flow Imaging of Paratesticular LeiomyomaNianyu Xue, MM, Yaya Chen, MD, Guoyao Wang, BS, Shengmin Zhang, BS0a Department of Ultrasonography, Ningbo First Hospital, Ningbo, Zhejiang, China;b Department of Ultrasonography, Ningbo Li Huili Hospital, Zhejiang, China;c Department of Urology, Ningbo First Hospital, Ningbo, Zhejiang, ChinaObjectiveIn this paper, we retrospectively analyzed the ultrasonographic features of paratesticular leiomyoma to help doctors correctly diagnose the disease before operation and guide surgical treatment. Methods From 2013 to 2020, 16 cases of paratesticular leiomyomas confirmed by pathology in our hospital were retrospectively analyzed. The retrospective analysis included the ultrasound and color Doppler flow imaging (CDFI) of paratesticular leiomyoma which were evaluated by two experienced radiologists based on the features of ultrasound images of lesions. Results All the 16 paratesticular leiomyoma presented as hypoechoic masses with a clear boundary and round shape. The echotexture of 6 large leiomyomas showed a typical vortex appearance. In the remaining 10 small leiomyomas, thin cord-like hyper-echogenic appearance was found. Color Doppler flow imaging showed that the blood flow signal within a large leiomyoma mass (n = 1) was significantly higher than that of surrounding testis while the blood flow signals of the smaller leiomyomas (n = 5) had significantly less flow signals compared with the testis. The remaining leiomyoma masses (n = 10) had similar flow signals to the testicular blood flow. Conclusion Sonography can be used to detect testicular tumors and to differentiate extratesticular from intratesticular masses. The ultrasound features of paratesticular leiomyoma included hypo- and hyperechoic mass, a round or typical vortex shape as well as various vascularity based on the size of the tumors.http://www.journaladvancedultrasound.com:81/fileup/2576-2516/PDF/1659941749311-1892160019.pdf|ultrasonography|color doppler flow imaging|leiomyoma|testis
spellingShingle Nianyu Xue, MM, Yaya Chen, MD, Guoyao Wang, BS, Shengmin Zhang, BS
Ultrasound and Color Doppler Flow Imaging of Paratesticular Leiomyoma
Advanced Ultrasound in Diagnosis and Therapy
|ultrasonography|color doppler flow imaging|leiomyoma|testis
title Ultrasound and Color Doppler Flow Imaging of Paratesticular Leiomyoma
title_full Ultrasound and Color Doppler Flow Imaging of Paratesticular Leiomyoma
title_fullStr Ultrasound and Color Doppler Flow Imaging of Paratesticular Leiomyoma
title_full_unstemmed Ultrasound and Color Doppler Flow Imaging of Paratesticular Leiomyoma
title_short Ultrasound and Color Doppler Flow Imaging of Paratesticular Leiomyoma
title_sort ultrasound and color doppler flow imaging of paratesticular leiomyoma
topic |ultrasonography|color doppler flow imaging|leiomyoma|testis
url http://www.journaladvancedultrasound.com:81/fileup/2576-2516/PDF/1659941749311-1892160019.pdf
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