Extratesticular masses in children: taking ultrasound beyond paratesticular rhabdomyosarcoma
Extratesticular cystic and solid scrotal masses are commonly encountered in pediatrics. The most common extratesticular malignancy is paratesticular rhabdomyosarcoma. The remainder of the common pathologies encountered -- appendage torsion, epididymitis and varicoceles -- are mostly benign. These fr...
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| Veröffentlicht in: | Pediatric radiology 2015-08, Vol.45 (9), p.1382-1391 |
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| creator | Annam, Aparna Munden, Marthe M. Mehollin-Ray, Amy R. Schady, Deborah Browne, Lorna P. |
| description | Extratesticular cystic and solid scrotal masses are commonly encountered in pediatrics. The most common extratesticular malignancy is paratesticular rhabdomyosarcoma. The remainder of the common pathologies encountered -- appendage torsion, epididymitis and varicoceles -- are mostly benign. These frequently encountered benign lesions are confidently differentiated from paratesticular rhadbomyosarcoma using high-frequency scrotal sonography in combination with clinical features. Less commonly encountered extratesticular masses may not be as easily classified; however, these also have distinguishing features that can enable differentiation from malignancy. This review discusses the sonographic findings, and relevant clinical and pathological manifestations of the more unusual extratesticular masses encountered in two tertiary pediatric institutions during a 10-year period. While these extratesticular pathologies are encountered relatively infrequently, recognition of their manifestations enables appropriate management. |
| doi_str_mv | 10.1007/s00247-015-3316-x |
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The most common extratesticular malignancy is paratesticular rhabdomyosarcoma. The remainder of the common pathologies encountered -- appendage torsion, epididymitis and varicoceles -- are mostly benign. These frequently encountered benign lesions are confidently differentiated from paratesticular rhadbomyosarcoma using high-frequency scrotal sonography in combination with clinical features. Less commonly encountered extratesticular masses may not be as easily classified; however, these also have distinguishing features that can enable differentiation from malignancy. This review discusses the sonographic findings, and relevant clinical and pathological manifestations of the more unusual extratesticular masses encountered in two tertiary pediatric institutions during a 10-year period. While these extratesticular pathologies are encountered relatively infrequently, recognition of their manifestations enables appropriate management.</description><identifier>ISSN: 0301-0449</identifier><identifier>EISSN: 1432-1998</identifier><identifier>DOI: 10.1007/s00247-015-3316-x</identifier><identifier>PMID: 25786605</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Child ; Child, Preschool ; Diagnosis, Differential ; Humans ; Imaging ; Infant ; Infant, Newborn ; Male ; Medicine ; Medicine & Public Health ; Neuroradiology ; Nuclear Medicine ; Oncology ; Pediatrics ; Pictorial Essay ; Radiology ; Scrotum - diagnostic imaging ; Spermatocele - diagnostic imaging ; Testicular Neoplasms - diagnostic imaging ; Testis - abnormalities ; Testis - diagnostic imaging ; Ultrasonography - methods ; Ultrasound</subject><ispartof>Pediatric radiology, 2015-08, Vol.45 (9), p.1382-1391</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-be1aa4527fb1a4e12e28f5952f342383daf4cf1739a8a4667e0fa956fc4966eb3</citedby><cites>FETCH-LOGICAL-c475t-be1aa4527fb1a4e12e28f5952f342383daf4cf1739a8a4667e0fa956fc4966eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00247-015-3316-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00247-015-3316-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>313,314,780,784,792,27922,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25786605$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Annam, Aparna</creatorcontrib><creatorcontrib>Munden, Marthe M.</creatorcontrib><creatorcontrib>Mehollin-Ray, Amy R.</creatorcontrib><creatorcontrib>Schady, Deborah</creatorcontrib><creatorcontrib>Browne, Lorna P.</creatorcontrib><title>Extratesticular masses in children: taking ultrasound beyond paratesticular rhabdomyosarcoma</title><title>Pediatric radiology</title><addtitle>Pediatr Radiol</addtitle><addtitle>Pediatr Radiol</addtitle><description>Extratesticular cystic and solid scrotal masses are commonly encountered in pediatrics. The most common extratesticular malignancy is paratesticular rhabdomyosarcoma. The remainder of the common pathologies encountered -- appendage torsion, epididymitis and varicoceles -- are mostly benign. These frequently encountered benign lesions are confidently differentiated from paratesticular rhadbomyosarcoma using high-frequency scrotal sonography in combination with clinical features. Less commonly encountered extratesticular masses may not be as easily classified; however, these also have distinguishing features that can enable differentiation from malignancy. This review discusses the sonographic findings, and relevant clinical and pathological manifestations of the more unusual extratesticular masses encountered in two tertiary pediatric institutions during a 10-year period. 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The most common extratesticular malignancy is paratesticular rhabdomyosarcoma. The remainder of the common pathologies encountered -- appendage torsion, epididymitis and varicoceles -- are mostly benign. These frequently encountered benign lesions are confidently differentiated from paratesticular rhadbomyosarcoma using high-frequency scrotal sonography in combination with clinical features. Less commonly encountered extratesticular masses may not be as easily classified; however, these also have distinguishing features that can enable differentiation from malignancy. This review discusses the sonographic findings, and relevant clinical and pathological manifestations of the more unusual extratesticular masses encountered in two tertiary pediatric institutions during a 10-year period. While these extratesticular pathologies are encountered relatively infrequently, recognition of their manifestations enables appropriate management.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25786605</pmid><doi>10.1007/s00247-015-3316-x</doi><tpages>10</tpages></addata></record> |
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| ispartof | Pediatric radiology, 2015-08, Vol.45 (9), p.1382-1391 |
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| source | MEDLINE; SpringerNature Complete Journals |
| subjects | Adolescent Child Child, Preschool Diagnosis, Differential Humans Imaging Infant Infant, Newborn Male Medicine Medicine & Public Health Neuroradiology Nuclear Medicine Oncology Pediatrics Pictorial Essay Radiology Scrotum - diagnostic imaging Spermatocele - diagnostic imaging Testicular Neoplasms - diagnostic imaging Testis - abnormalities Testis - diagnostic imaging Ultrasonography - methods Ultrasound |
| title | Extratesticular masses in children: taking ultrasound beyond paratesticular rhabdomyosarcoma |
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