Zusammenfassung
Hodenzysten werden im Rahmen der skrotalen Sonographie zunehmend diagnostiziert. Grund hierfür ist u. a. die flächendeckende Verfügbarkeit moderner, hochauflösender Ultraschallgeräte. Differentialdiagnostisch und ätiologisch sind benigne und maligne Erkrankungen mit testikulärer Zystenbildung voneinander zu unterscheiden. Benigne Krankheitsbilder mit zystischen Raumforderungen des Hodens sind die tubuläre Ektasie des Rete testis, die zystische Dysplasie, Epidermoidzysten, einfache intraparenchymatöse Hodenzysten und Zysten der Tunica albuginea. Die testikuläre Dermoidzyste, die lange Zeit zu Unrecht als potentiell maligne angesehen wurde, ist ebenfalls als benigne zu klassifizieren. Bei Diagnose einer benignen zystischen Raumforderung des Hodens kann in den meisten Fällen eine organerhaltende operative Therapie oder ein abwartendes, überwachendes Procedere empfohlen werden.
Abstract
Testicular cysts are increasingly diagnosed in the course of scrotal ultrasound examination. Among other things this is due to the general availability of modern high-resolution ultrasound devices. Benign and malignant diseases with testicular cyst formation need to be differentiated by differential diagnosis and by their aetiology. Benign diseases with cystic space-occupying lesions of the testicle are tubular ectasia of the rete testis, cystic dysplasia, epidermoid cysts, simple intraparenchymatous testicular cysts and cysts of the tunica albuginea. Testicular dermoid cyst was long misleadingly regarded as potentially malignant, but is now classified as benign. On diagnosis of a benign lesion of the testis an organ-conserving surgical therapy or an observational watch-and-wait strategy can be recommended in most cases.
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Danksagung
Die in dieser Arbeit verwendeten Abbildungen wurden dem Autor freundlicherweise von Herrn Vikram Dogra, Professor of Radiology, Urology & Biomedicine, Director of Ultrasound and Radiology, University of Rochester School of Medicine, 601 Elmwood Ave, Box 648 Rochester NY United States, zur Verfügung gestellt.
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Bonkat, G., Ruszat, R., Forster, T. et al. Benigne zystische Raumforderungen des Hodens. Urologe 46, 1697–1703 (2007). https://doi.org/10.1007/s00120-007-1555-7
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DOI: https://doi.org/10.1007/s00120-007-1555-7