Differential diagnosis of focal epididymal lesions with gray scale sonographic, color Doppler sonographic, and clinical features
| Autor: | Tae Seok Seo, Sun Ho Kim, Hyuni Cho, Dal Mo Yang, Hyung Sik Kim, Ha Na Kim, Hee Young Hwang, Jee Hee Kang |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male Duplex ultrasonography Pathology medicine.medical_specialty Testicular Diseases Lesion Diagnosis Differential Testicular Neoplasms Hydrocele medicine Humans Radiology Nuclear Medicine and imaging Ultrasonography Doppler Color Retrospective Studies Epididymis Epididymitis Radiological and Ultrasound Technology business.industry Echogenicity Blood flow medicine.disease Tuberculosis Male Genital Effusion medicine.symptom Differential diagnosis business |
| Zdroj: | Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 22(2) |
| ISSN: | 0278-4297 |
| Popis: | To determine whether focal epididymal lesions can be differentiated on gray scale sonographic, color Doppler sonographic, and clinical features.This was a retrospectiveanalysis of 60 focal epididymal lesions in 57 patients. Focal epididymal lesions were classified into 3 groups: nonspecific epididymitis (n = 43), tuberculous epididymitis (n = 10), and benign epididymal masses (n = 7). The following gray scale sonographic, color Doppler sonographic, and clinical features were analyzed: size, location, echogenicity, and heterogeneity of the lesion; hypoechoic or hyperechoic rim presence; hydrocele presence; degree of blood flow in the lesion; patient's age; duration of symptoms; and scrotal tenderness.Lesions were larger in patients with tuberculous epididymitis than in those with either nonspecific epididymitis (P = .007) or benign epididymal masses (P = .0017). The hypoechoic or hyperechoic rim of the lesion was more common in patients with benign epididymal masses than in those with nonspecific epididymitis (P = .002). The degree of blood flow in the lesion was greater in patients with nonspecific epididymitis than in those with either tuberculous epididymitis (P = .0019) or benign epididymal masses (P.001). The duration of symptoms was shorter in patients with nonspecific epididymitis than in those with either tuberculous epididymitis (P.001) or benign epididymal masses (P = .0092). The frequency of scrotal tenderness was higher in patients with nonspecific epididymitis than in those with either tuberculous epididymitis (P.001) or benign epididymal masses (P.001).Gray scale sonographic, color Doppler sonographic, and some clinical features may be helpful for differential diagnosis of focal epididymal lesions. |
| Databáze: | OpenAIRE |
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