Advertisement

Imaging of the Male Pelvis: Scrotum

  • Brent J. Wagner

Abstract

Scrotal imaging, particularly with ultrasound (US), is a critical tool for accurate and rapid diagnosis of a variety of acute and subacute conditions. This review presents a framework for assessing abnormal imaging findings in adults based on four major categories: neoplastic, inflammatory, traumatic, and vascular. Miscellaneous conditions, including mimics for malignant neoplasms, are also presented, in addition to basic clinical background to allow radiologists to provide refined interpretations in the context of current management algorithms.

Keywords

Necrotizing Fasciitis Epidermoid Cyst Testicular Neoplasm Testicular Microlithiasis Scrotal Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Kreydin EI, Barrisford GW, Feldman AS, Preston MA (2013) Testicular cancer: what the radiologist needs to know. AJR Am J Roentgen 200:1215–1225.CrossRefGoogle Scholar
  2. 2.
    Appelbaum L, Gaitini D, Dogra V (2013) Scrotal ultrasound in adults. Semin Ultrasound CT MRI 34:257–273.CrossRefGoogle Scholar
  3. 3.
    Woodward PJ, Sohaey R, O’Donoghue MJ, Green DE (2002) Tumors and tumorlike lesions of the testis: radiologic-pathologic correlation. Radiographics 22:189–216.PubMedCrossRefGoogle Scholar
  4. 4.
    Tsili AC, Argyropoulou MI, Astrakas LG et al (2013) Dynamic contrast-enhanced subtraction MRI for characterizing intratesticular mass lesions. AJR Am J Roentgen 200:578–585.CrossRefGoogle Scholar
  5. 5.
    Kollmannsberger C, Tyldesley S, Moore C et al (2011) Evolution in management of testicular seminoma: population-based outcomes with selective utilization of active therapies. Ann Oncol 22:808–814.PubMedCrossRefGoogle Scholar
  6. 6.
    Brunereau L, Bruyère F, Linassier C, Baulieu J-L (2012) The role of imaging in staging and monitoring testicular cancer. Diagnostic and Interventional Imaging 93:310–318.PubMedCrossRefGoogle Scholar
  7. 7.
    Lam DL, Gerscovich EO, Kuo MC, McGahan JP (2007) Testicular microlithiasis: our experience of 10 years. J Ultrasound Med 26:867–873.PubMedGoogle Scholar
  8. 8.
    Costabile RA (2007) How worrisome is testicular microlithiasis? Curr Opin Urol 17:419–423.PubMedCrossRefGoogle Scholar
  9. 9.
    Tan IB, Ang KK, Ching BC et al (2010) Testicular microlithiasis predicts concurrent testicular germ cell tumors and intratubular germ cell neoplasia of unclassified type in adults. Cancer 116:4520–4532.PubMedCrossRefGoogle Scholar
  10. 10.
    Aganovic L, Cassidy F (2012) Imaging of the scrotum. Radiol Clin N Am 50:1145–1165.PubMedCrossRefGoogle Scholar
  11. 11.
    Woodward PJ, Schwab CM, Sesterhenn IA (2003) Extratesticular scrotal masses: radiologic-pathologic correlation. Radiographics 23:215–240.PubMedCrossRefGoogle Scholar
  12. 12.
    Mohrs OK, Thoms H, Egner T et al (2012) MRI of patients with suspected scrotal or testicular lesions: diagnostic value in daily practice. AJR Am J Roentgen 199:609–615.CrossRefGoogle Scholar
  13. 13.
    Avery LL, Scheinfeld MH (2013) Imaging of penile and scrotal emergencies. RadioGraphics 33:721–740.PubMedCrossRefGoogle Scholar
  14. 14.
    Aquino M, Nghiem H, Jafri SZ et al (2013) Segmental testicular infarction: sonographic findings and pathologic correlation. J Ultrasound Med 32:365–372.PubMedGoogle Scholar
  15. 15.
    Lubner MG, Simard ML, Peterson CM et al (2013) Emergent and nonemergent nonbowel torsion: spectrum of imaging and clinical findings. RadioGraphics 33:155–173.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2014

Authors and Affiliations

  • Brent J. Wagner
    • 1
  1. 1.Department of RadiologyReading Health SystemWest ReadingUSA

Personalised recommendations