Abstract
Scrotal cystic lesions are common incidental findings at ultrasonography. Most of them are located in the epididymis, but the testis and the cord are also involved. Testicular, albugineal, and epidermoid cysts; cystic dysplasia of the rete testis; cysts of the spermatic cord; and cystic appendages are easily detected at ultrasonography, which is the modality of choice to differentiate benign cysts from cystic tumors. Other imaging modalities such as CEUS and MR imaging may have a role for characterization of complex cystic lesions.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Valentino M, Bertolotto M, Ruggirello M, Pavlica P, Barozzi L, Rossi C (2011) Cystic lesions and scrotal fluid collections in adults: ultrasound findings. J Ultrasound 14(4):208–215. doi:10.1016/j.jus.2011.10.008
Bhatt S, Rubens DJ, Dogra VS (2006) Sonography of benign intrascrotal lesions. Ultrasound Q 22(2):121–136
Dogra VS, Gottlieb RH, Rubens DJ, Liao L (2001) Benign intratesticular cystic lesions: US features. Radiograph Rev Publ Radiol Soc N Am. Inc 21 Spec No:S273-281. doi:10.1148/radiographics.21.suppl_1.g01oc15s273
Bhatt S, Jafri SZ, Wasserman N, Dogra VS (2011) Imaging of non-neoplastic intratesticular masses. Diagn Interv Radiol 17(1):52–63. doi:10.4261/1305-3825.DIR.3116-09.0
Al-Jabri T, Misra S, Maan ZN, Khan K, Coker C, Thompson P (2011) Ultrasonography of simple intratesticular cysts: a 13 year experience in a single centre. Diagn Pathol 6:24. doi:10.1186/1746-1596-6-24
Huang DY, Sidhu PS (2012) Focal testicular lesions: colour Doppler ultrasound, contrast-enhanced ultrasound and tissue elastography as adjuvants to the diagnosis. Br J Radiol. 85 Spec No 1:S41–53. doi:10.1259/bjr/30029741
Cantisani V, Bertolotto M, Weskott HP, Romanini L, Grazhdani H, Passamonti M, Drudi FM, Malpassini F, Isidori A, Meloni FM, Calliada F, D’Ambrosio F (2015) Growing indications for CEUS: the kidney, testis, lymph nodes, thyroid, prostate, and small bowel. Eur J Radiol 84(9):1675–1684. doi:10.1016/j.ejrad.2015.05.008
Maizlin ZV, Belenky A, Baniel J, Gottlieb P, Sandbank J, Strauss S (2005) Epidermoid cyst and teratoma of the testis: sonographic and histologic similarities. J Ultrasound Med Off J Am Instit Ultrasound Med 24(10):1403–1409; quiz 1410–1401
Patel K, Sellars ME, Clarke JL, Sidhu PS (2012) Features of testicular epidermoid cysts on contrast-enhanced sonography and real-time tissue elastography. J Ultrasound Med Off J Am Instit Ultrasound Med 31(1):115–122
Rouviere O, Bouvier R, Pangaud C, Jeune C, Dawahra M, Lyonnet D (1999) Tubular ectasia of the rete testis: a potential pitfall in scrotal imaging. Eur Radiol 9(9):1862–1868. doi:10.1007/s003300050936
Emam AT, Awad FM, Elsayed EA, Alghashi M (2012) Cystic dysplasia of the rete testis: ultrasound and magnetic resonance imaging findings. Saudi J kidney Dis Transplant Off Publ Saudi Center Organ Transplant Saudi Arabia 23(3):559–561
Bucci S, Liguori G, Amodeo A, Salame L, Trombetta C, Belgrano E (2008) Intratesticular varicocele: evaluation using grey scale and color Doppler ultrasound. World J Urol 26(1):87–89. doi:10.1007/s00345-007-0216-1
Gaur S, Bhatt S, Derchi L, Dogra V (2011) Spontaneous intratesticular hemorrhage: two case descriptions and brief review of the literature. J Ultrasound Med Off J Am Instit Ultrasound Med 30(1):101–104
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. doi:10.1259/bjr/19678081
Algaba F, Mikuz G, Boccon-Gibod L, Trias I, Arce Y, Montironi R, Egevad L, Scarpelli M, Lopez-Beltran A (2007) Pseudoneoplastic lesions of the testis and paratesticular structures. Virchows Archiv Int J Pathol 451(6):987–997. doi:10.1007/s00428-007-0502-8
Katergiannakis V, Lagoudianakis EE, Markogiannakis H, Manouras A (2006) Huge epidermoid cyst of the spermatic cord in an adult patient. Int J Urol Off J Jpn Urol Assoc 13(1):95–97. doi:10.1111/j.1442-2042.2006.01228.x
Kantarci F, Ozer H, Adaletli I, Mihmanli I (2005) Cystic appendix epididymis: a sonomorphologic study. Surg Radiol Anat SRA 27(6):557–561. doi:10.1007/s00276-005-0034-3
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Bertolotto, M. et al. (2017). The Testicles: Cystic Lesions. 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_39
Download citation
DOI: https://doi.org/10.1007/978-3-319-40782-1_39
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-40780-7
Online ISBN: 978-3-319-40782-1
eBook Packages: MedicineMedicine (R0)