EURORAD ESR

Case 12854

Adenomatoid tumour of epididymis: ultrasonographic evaluation with surgical correlation

Author(s)
Vasileios Rafailidis1, Dimitrios Patoulias2, Chrystala Dimitriou2, Ioannis Patoulias2

1. Radiology Department of AHEPA General Hospital of Thessaloniki, Greece.
2. “GENNIMATAS” General Hospital of Thessaloniki, Greece.
Email:billraf@hotmail.com
 
Patient
male, 16 year(s)
 
 
  • Figure 1
    Ultrasound findings of the scrotum
     

    A split screen composite gray scale ultrasound showing a rounded solid mass of rather high echogenicity in continuity with the lower pole of the testis. A small cyst can be seen in the mass.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    A close-up image of the mass reveals its solid echostructure. The mass is iso- to hyperechoic compared to the testis.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    This power Doppler technique image demonstrates limited blood flow signals within the mass. A small cyst can be seen inside the mass.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound-Power Doppler; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    This power Doppler image confirms the absence of vasculature within the mass. There is a normal tail of epididymis and vas deferens situated near the mass.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound-Power Doppler; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Intraoperative findings
     

    Intraoperative photograph showing the mass, of roughish composition, in close anatomical relationship with the tail of the right epididymis (arrow).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Image manipulation / Reconstruction; Procedure: Surgery; Special Focus: Neoplasia;

    Photograph of the resected mass (diameter 1.3 cm), after complete surgical removal in healthy limits.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Image manipulation / Reconstruction; Procedure: Surgery; Special Focus: Neoplasia;
     
     
A split screen composite gray scale ultrasound showing a rounded solid mass of rather high echogenicity in continuity with the lower pole of the testis. A small cyst can be seen in the mass.
 
A close-up image of the mass reveals its solid echostructure. The mass is iso- to hyperechoic compared to the testis.
 
This power Doppler technique image demonstrates limited blood flow signals within the mass. A small cyst can be seen inside the mass.
 
This power Doppler image confirms the absence of vasculature within the mass. There is a normal tail of epididymis and vas deferens situated near the mass.
 
Intraoperative photograph showing the mass, of roughish composition, in close anatomical relationship with the tail of the right epididymis (arrow).
 
Photograph of the resected mass (diameter 1.3 cm), after complete surgical removal in healthy limits.
 
 
 
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