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Korean J Urol Oncol > Volume 6(3); 2008 > Article
The Korean Journal of Urological Oncology 2008;6(3): 117-121.
고환 림프종의 진단을 위한 음낭초음파검사의 유용성
허정식, 김영주, 김봉수1, 최국명1, 맹영희2, 김현주3, 김정곤4
제주대학교 의과대학 비뇨기과학교실, 1영상의학교실, 2병리학교실, 3가정의학교실, 울산대학교 의과대학 서울아산병원 4영상의학교실
The Efficacy of Testicular Sonography of Testicular Lymphoma
Jung-Sik Huh , Young-Joo Kim , Bong Soo Kim 1, Guk Myung Choi 1, Young-Hee Maeng 2, Hyeon Ju Kim 3, Jeong Kon Kim 4
Departments of Urology, 1Radiology, 2Pathology, 3Family Medicine, School of Medicine, Cheju National University, Jeju and 4Department of Radiology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea
Published online: December 1, 2008.
ABSTRACT
Purpose:
Primary malignant lymphoma of the testis only constitutes 1 to 9% all testicular tumors. They are the most common testicular malignancy of elderly men. Only a few reports on the sonographic findings of the primary testicular lymphoma have been published. We described the sonographic findings in such case.
Materials and Methods:
We retrospectively reviewed clinical characteristics, laboratory and sonographic findings of 6 patients with testicular mass who underwent operation from 1997 to 2007. Patients had undergone testicular ultrasonography. Mean age was 55.3 years (range 35 to 70) and right to left to both ratio was 4 to 1 to 1.
Results:
All 6 patients had painless testicular mass. On basis of the ultrasonographic features, homogenously hypoechoic testicular lesion on gray-scale sonography and increased intralesional flow on color Doppler ultrasonongraphy in all area involved were done.
Conclusions:
The sonographic pattern of involvement includes focal or diffuse areas of decreased echogenecity in an enlarged testis and diffusely increased vascularity in the tumor. We conclude ultrasonography may help us diagnose testicular lymphoma but cannot replace surgical and histological exploration of the testis. (Korean J Urol Oncol 2008;6:117-121)
Key Words: Lymphoma; Ultrasonogr
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