| Autor: |
Corvino A; Movement Sciences and Wellbeing Department, University of Naples 'Parthenope', Via Medina 40, I-80133 Naples, Italy., Catalano O; Radiology Unit, Istituto Diagnostico Varelli, I-80126 Naples, Italy., Faggian G; Advanced Biomedical Sciences Department, University Federico II of Naples, I-80131 Naples, Italy., Delli Pizzi A; Department of Innovative Technologies in Medicine and Dentistry, University 'G. D'Annunzio', I-6610 Chieti, Italy., Tafuri D; Movement Sciences and Wellbeing Department, University of Naples 'Parthenope', Via Medina 40, I-80133 Naples, Italy., Corvino F; Vascular and Interventional Radiology Department, Cardarelli Hospital, I-80131 Naples, Italy., Borzelli A; Vascular and Interventional Radiology Department, Cardarelli Hospital, I-80131 Naples, Italy., Picchi SG; Radiology Department, Ospedale del Mare, ASL NA1 Centro, I-80147 Naples, Italy., Lassandro G; Radiology Department, Ospedale del Mare, ASL NA1 Centro, I-80147 Naples, Italy., Boccatonda A; Internal Medicine, Bentivoglio Hospital, AUSL Bologna, I-40010 Bologna, Italy., Schips L; Department of Medical, Oral and Biotechnological Sciences, 'G. D'Annunzio' University, Urology Unit, SS Annunziata Hospital, I-6610 Chieti, Italy., Cocco G; Department of Neuroscience, Imaging and Clinical Sciences, 'G. D'Annunzio' University, I-6610 Chieti, Italy.; Unit of Ultrasound in Internal Medicine, Department of Medicine and Science of Aging, 'G. D'Annunzio' University, I-6610 Chieti, Italy. |
| Abstrakt: |
Background: Paratesticular tumors (PTs) are very uncommon, accounting for almost 5% of intrascrotal tumors. Of these, adenomatoid tumors (ATs) represent about 30% and most frequently arise in the tail of the epididymis. Ultrasound (US) examination is the first-choice imaging method employed for the evaluation of the scrotum. Unfortunately, there are no specific US-imaging features useful for distinguishing an AT from a malignant lesion. To increase diagnostic accuracy and confidence, new sonographic techniques have incorporated real-time tissue elastography (RTE) under the assumption that malignant lesions are "harder" than benign lesions. Case report : In our paper, we describe a very rare case of a 60-year-old patient with a giant paratesticular mass mimicking malignancy when examined using RTE, i.e., it was stiffer than the surrounding tissue (a hard pattern), which, upon histologic examination, was identified as an AT. Discussion : Our case underscores that there is also a significant overlap between different types of scrotal lesions when RTE is used for examination. Thus, if a PT is found, the imaging approach should always be supplemented with more definitive diagnostic methods, such as FNAC or FNAB, which are the only diagnostic methods capable of leading to a certain diagnosis. Conclusions : Alongside underlining the importance of pre-operative imaging for making correct diagnoses and selecting the correct therapy, we wish to draw our readers' attention to this report in order to demonstrate the clinical implications of a giant AT presenting as stiff lesions when examined using SE. |
