Skip to main content
Log in

Imaging features of benign solid testicular and paratesticular lesions

  • Urogenital
  • Published:
European Radiology Aims and scope Submit manuscript

Abstract

Objective

The presence of an intratesticular solid lesion is usually highly suspicious for malignancy. Conversely, most extratesticular solid lesions including paratesticular lesions are benign. The characteristic imaging features of malignant solid testicular lesions are well known, but various unusual causes and imaging features of benign solid testicular lesions can be particularly misleading. Therefore, a careful assessment of solid testicular and paratesticular lesions is warranted. The purpose of this article is to present the clinical and imaging features of the spectrum of benign solid testicular and paratesticular lesions.

Methods

We demonstrate a variety of benign solid testicular and paratesticular lesions and correlate them with pathologic results.

Results

Specific the clinical and imaging features of the spectrum of benign solid testicular and paratesticular lesions have been described.

Conclusions

Familiarity with the clinical setting and imaging features of benign solid testicular and paratesticular lesions should facilitate prompt, accurate diagnosis and treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10

Similar content being viewed by others

References

  1. Dogra VS, Gottlieb RH, Rubens DJ, Liao L (2001) Benign intratesticular cystic lesions: US features. Radiographics 21(Spec No):S273–S281

    PubMed  Google Scholar 

  2. Kim W, Rosen MA, Langer JE, Banner MP, Siegelman ES, Ramchandani P (2007) US MR imaging correlation in pathologic conditions of the scrotum. Radiographics 27:1239–1253

    Article  PubMed  Google Scholar 

  3. Woodward PJ, Sohaey R, O’Donoghue MJ, Green DE (2002) From the archives of the AFIP: tumors and tumorlike lesions of the testis: radiologic-pathologic correlation. Radiographics 22:189–216

    PubMed  Google Scholar 

  4. Woodward PJ, Schwab CM, Sesterhenn IA (2003) From the archives of the AFIP: extratesticular scrotal masses: radiologic-pathologic correlation. Radiographics 23:215–240

    Article  PubMed  Google Scholar 

  5. Akbar SA, Sayyed TA, Jafri SZ, Hasteh F, Neill JS (2003) Multimodality imaging of paratesticular neoplasms and their rare mimics. Radiographics 23:1461–1476

    Article  PubMed  Google Scholar 

  6. Cho JH, Chang JC, Park BH, Lee JG, Son CH (2002) Sonographic and MR imaging findings of testicular epidermoid cysts. AJR Am J Roentgenol 178:743–748

    PubMed  Google Scholar 

  7. Loya AG, Said JW, Grant EG (2004) Epidermoid cyst of the testis: radiologic-pathologic correlation. Radiographics 24(Suppl 1):S243–S246

    Article  PubMed  Google Scholar 

  8. Bhatt S, Dogra VS (2008) Role of US in testicular and scrotal trauma. Radiographics 28:1617–1629

    Article  PubMed  Google Scholar 

  9. Purushothaman H, Sellars ME, Clarke JL, Sidhu PS (2007) Intratesticular haematoma: differentiation from tumour on clinical history and ultrasound appearances in two cases. Br J Radiol 80(956):e184–e187

    Article  PubMed  CAS  Google Scholar 

  10. Ovesen P, Mommsen S (1991) Spontaneous intratesticular haemorrhage. Urol Int 46:107–108

    Article  PubMed  CAS  Google Scholar 

  11. Yang DM, Yoon MH, Kim HS et al (2001) Comparison of tuberculous and pyogenic epididymal abscesses: clinical, gray-scale sonographic, and colour Doppler sonographic features. AJR Am J Roentgenol 177:1131–1135

    PubMed  CAS  Google Scholar 

  12. Aso C, Enriquez G, Fite M et al (2005) Gray-scale and color Doppler sonography of scrotal disorders in children: an update. Radiographics 25:1197–1214

    Article  PubMed  Google Scholar 

  13. Yang DM, Lim JW, Kim JE, Kim JH, Cho H (2005) Torsed appendix testis: gray scale and colour Doppler sonographic findings compared with normal appendix testis. J Ultrasound Med 24:87–91

    PubMed  Google Scholar 

  14. Mak CW, Tzeng WS, Chou CK, Chen CY, Chang JM, Tzeng CC (2004) Leiomyoma arising from the tunica albuginea of the testis: sonographic findings. J Clin Ultrasound 32:309–311

    Article  PubMed  Google Scholar 

  15. Amodio JB, Maybody M, Slowotsky C, Fried K, Foresto C (2004) Polyorchidism: report of 3 cases and review of the literature. J Ultrasound Med 23:951–957

    PubMed  Google Scholar 

Download references

Acknowledgements

This work was funded by Ulsan University Hospital (Biomedical Research Center Promotion Fund, 08–06).

The authors would like to thank eWorldEditing.com for their editorial assistance in the preparation of the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sung Bin Park.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Park, S.B., Lee, W.C., Kim, J.K. et al. Imaging features of benign solid testicular and paratesticular lesions. Eur Radiol 21, 2226–2234 (2011). https://doi.org/10.1007/s00330-011-2155-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00330-011-2155-x

Keywords

Navigation