Adenomatoid tumor of the testis mimicking malignant testicular cancer on multiparametric ultrasound
Abstract Background Adenomatoid tumor is one of the most common histological subtypes of paratesticular cancer arising from the epididymis. In very rare cases, these tumors appear as intratesticular lesions originating in the tunica albuginea, representing a diagnostic challenge. Case presentation W...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-01-01
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| Series: | European Journal of Medical Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40001-018-0301-5 |
| _version_ | 1818132776106328064 |
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| author | Renate Pichler Gennadi Tulchiner Fabian Steinkohl Afschin Soleiman Wolfgang Horninger Isabel Maria Heidegger Friedrich Aigner |
| author_facet | Renate Pichler Gennadi Tulchiner Fabian Steinkohl Afschin Soleiman Wolfgang Horninger Isabel Maria Heidegger Friedrich Aigner |
| author_sort | Renate Pichler |
| collection | DOAJ |
| description | Abstract Background Adenomatoid tumor is one of the most common histological subtypes of paratesticular cancer arising from the epididymis. In very rare cases, these tumors appear as intratesticular lesions originating in the tunica albuginea, representing a diagnostic challenge. Case presentation We present a case of a 51-year-old man with a small (0.9 cm) hyperechoic lesion of the left testicle mimicking testicular cancer on multiparametric ultrasound. The lesion was localized in the peripheral zone, confirming vascularization and increased stiffness on contrast-enhanced ultrasound and real-time elastography. Preoperative tumor markers and hormone levels were within normal ranges. Staging computed tomography was negative. Organ-sparing surgery with tumor enucleation and frozen section analysis was performed, confirming testicular adenomatoid tumor. Conclusion Currently, no typical ultrasound features can definitively distinguish intratesticular adenomatoid tumors from malignant testicular masses. Thus, a surgical approach is almost always considered in such a case for both diagnostic and therapeutic purposes. |
| first_indexed | 2024-12-11T08:42:12Z |
| format | Article |
| id | doaj.art-a87d3bc25ade4f229bddd99a7b21fb71 |
| institution | Directory Open Access Journal |
| issn | 2047-783X |
| language | English |
| last_indexed | 2024-12-11T08:42:12Z |
| publishDate | 2018-01-01 |
| publisher | BMC |
| record_format | Article |
| series | European Journal of Medical Research |
| spelling | doaj.art-a87d3bc25ade4f229bddd99a7b21fb712022-12-22T01:14:13ZengBMCEuropean Journal of Medical Research2047-783X2018-01-012311410.1186/s40001-018-0301-5Adenomatoid tumor of the testis mimicking malignant testicular cancer on multiparametric ultrasoundRenate Pichler0Gennadi Tulchiner1Fabian Steinkohl2Afschin Soleiman3Wolfgang Horninger4Isabel Maria Heidegger5Friedrich Aigner6Department of Urology, Medical University of InnsbruckDepartment of Urology, Medical University of InnsbruckDepartment of Radiology, Medical University of InnsbruckClinical Pathology and Cytodiagnostics, Tyrolean State Hospitals Ltd.Department of Urology, Medical University of InnsbruckDepartment of Urology, Medical University of InnsbruckDepartment of Radiology, Medical University of InnsbruckAbstract Background Adenomatoid tumor is one of the most common histological subtypes of paratesticular cancer arising from the epididymis. In very rare cases, these tumors appear as intratesticular lesions originating in the tunica albuginea, representing a diagnostic challenge. Case presentation We present a case of a 51-year-old man with a small (0.9 cm) hyperechoic lesion of the left testicle mimicking testicular cancer on multiparametric ultrasound. The lesion was localized in the peripheral zone, confirming vascularization and increased stiffness on contrast-enhanced ultrasound and real-time elastography. Preoperative tumor markers and hormone levels were within normal ranges. Staging computed tomography was negative. Organ-sparing surgery with tumor enucleation and frozen section analysis was performed, confirming testicular adenomatoid tumor. Conclusion Currently, no typical ultrasound features can definitively distinguish intratesticular adenomatoid tumors from malignant testicular masses. Thus, a surgical approach is almost always considered in such a case for both diagnostic and therapeutic purposes.http://link.springer.com/article/10.1186/s40001-018-0301-5Adenomatoid tumorTestisTunica albugineaUltrasoundElastography |
| spellingShingle | Renate Pichler Gennadi Tulchiner Fabian Steinkohl Afschin Soleiman Wolfgang Horninger Isabel Maria Heidegger Friedrich Aigner Adenomatoid tumor of the testis mimicking malignant testicular cancer on multiparametric ultrasound European Journal of Medical Research Adenomatoid tumor Testis Tunica albuginea Ultrasound Elastography |
| title | Adenomatoid tumor of the testis mimicking malignant testicular cancer on multiparametric ultrasound |
| title_full | Adenomatoid tumor of the testis mimicking malignant testicular cancer on multiparametric ultrasound |
| title_fullStr | Adenomatoid tumor of the testis mimicking malignant testicular cancer on multiparametric ultrasound |
| title_full_unstemmed | Adenomatoid tumor of the testis mimicking malignant testicular cancer on multiparametric ultrasound |
| title_short | Adenomatoid tumor of the testis mimicking malignant testicular cancer on multiparametric ultrasound |
| title_sort | adenomatoid tumor of the testis mimicking malignant testicular cancer on multiparametric ultrasound |
| topic | Adenomatoid tumor Testis Tunica albuginea Ultrasound Elastography |
| url | http://link.springer.com/article/10.1186/s40001-018-0301-5 |
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