Abstract
A scrotal mass is often identified by the patient as an abnormal lump during self-palpation. Scrotal lumps can be caused by cystic lesions or solid tumours of the testis or paratesticular structures, trauma, inflammations or testicular torsion, varicocele, fluid collections, inguinoscrotal hernia or tumours of the scrotal wall. When a patient presents with a scrotal mass, it is extremely important to collect a detailed history which includes duration of symptoms, whether the mass is painful or painless, change in size of mass, sexual history, concomitant lower urinary tract symptoms, previous history of surgery, infertility or mumps and family history of testicular cancer.
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References
Woodward PJ, Sohaey R, O’Donoghue MJ et al (2002) From the archives of the AFIP: tumors and tumorlike lesions of the testis: radiologic-pathologic correlation. Radiographics 22:189–216
Woodward PJ, Schwab CM, Sesterhenn IA (2003) From the archives of the AFIP: extratesticular scrotal masses: radiologic-pathologic correlation. Radiographics 23:215–240
Akbar SA, Sayyed TA, Jafri SZ et al (2003) Multimodality imaging of paratesticular neoplasms and their rare mimics. Radiographics 23:1461–1476
Dogra VS, Gottlieb RH, Oka M et al (2003) Sonography of the scrotum. Radiology 227:18–36
Hamm B (1997) Differential diagnosis of scrotal masses by ultrasound. Eur Radiol 7:668–679
Oyen RH (2002) Scrotal ultrasound. Eur Radiol 12:19–34
Valentino M, Barozzi L, Pavlica P (2012) Scrotal pathology. Imaging scrotal lumps in adults. Cysts and fluid Collections. Springer-Verlag Berlin, Heidelberg
Shakiba B, Heidari K, Jamali A, Afshar K (2014) Aspiration and sclerotherapy versus hydrocoelectomy for treating hydrocoeles. Cochrane Database Syst Rev. 2014;(11):CD009735
Montgomery JS, Bloom DA (2011) The diagnosis and management of scrotal masses. Med Clin North Am 95(1):235–244
Winter TC (2009) There is a mass in the scrotum—what does it mean?: Evaluation of the scrotal mass. Ultrasound Q 25(4):195–205
Gooding GA, Leonhardt WC, Marshall G et al (1997) Cholesterol crystals in hydroceles: sonographic detection and possible significance. AJR Am J Roentgenol 169:527–529
Garriga V, Serrano A, Marin A et al (2009) US of the tunica vaginalis testis: anatomic relationships and pathologic conditions. Radiographics 29:2017–2032
Mehra BR, Thawait AP, Narang RR et al (2007) Adenocarcinoma of the rete testis with uncommon presentation as haematocele. Singapore Med J 48:e311–e313
Bacigalupo LE, Bertolotto M, Barbiera F et al (2005) Imaging of urinary bladder hernias. AJR Am J Roentgenol 184:546–551
Frates MC, Benson CB, DiSalvo DN et al (1997) Solid extratesticular masses evaluated with sonography: pathologic correlation. Radiology 204:43–46
Lee JC, Bhatt S, Dogra VS (2008) Imaging of the epididymis. Ultrasound Q 24:3–16
Khoubehi B, Mishra V, Ali M, Motiwala H, Karim O (2002) Adult paratesticular tumours. BJU Int 90(7):707–715
Leonhardt WC, Gooding GA (1992) Sonography of intrascrotal adenomatoid tumor. Urology 39:90–92
Leonhardt WC, Gooding GA (1993) Sonography of epididymal leiomyoma. Urology 41:262–264
Alexander JA, Lichtman JB, Varma VA (1991) Ultrasound demonstration of a papillary cystadenoma of the epididymis. J Clin Ultrasound 19:442–445
Choyke PL, Glenn GM, Wagner JP et al (1997) Epididymal cystadenomas in von Hippel-Lindau disease. Urology 49:926–931
Chien AJ, Strouse PJ, Koo HP (2000) Cystic mesothelioma of the testis in an adolescent patient. J Ultrasound Med 19:423–425
Derchi L.E, Simonato A (2012) Scrotal pathology. Imaging scrotal lumps in adults. Tumors. Springer-Verlag Berlin, Heidelberg
Crawford P, Crop JA (2014) Evaluation of scrotal masses. Am Fam Physician 89(9):723–727
de la Brassinne M, Richert B (1992) Genital squamous-cell carcinoma after PUVA therapy. Dermatology 185(4):316–318
Eliezri YD, Silverstein SJ, Nuovo GJ (1990) Occurrence of human papillomavirus type 16 DNA in cutaneous squamous and basal cell neoplasms. J Am Acad Dermatol 23(5 pt 1):836–842
Anaya DA, Dellinger EP (2007) Necrotizing soft-tissue infection: diagnosis and management. Clin Infect Dis 44(5):705–710
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Chiriacò, G. et al. (2017). Scrotal Masses. In: Martino, P., Galosi, A. (eds) Atlas of Ultrasonography in Urology, Andrology, and Nephrology. Springer, Cham. https://doi.org/10.1007/978-3-319-40782-1_43
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DOI: https://doi.org/10.1007/978-3-319-40782-1_43
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