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Imaging in paratesticular lesions
Ashwini Sankhe1, Pareekshith Rai2
1Department of Radiology, LTMMC and GH, Mumbai, India.
BMJ Case Reports
|January 22, 2022
Summary
A rare paratesticular pleomorphic sarcoma caused scrotal swelling in a young male. Multi-modality imaging aided diagnosis and surgical planning for this extratesticular tumor.
Area of Science:
- Oncology
- Radiology
- Uropathology
Background:
- Paratesticular tumors are rare but significant causes of scrotal swelling.
- Early and accurate diagnosis is crucial for effective management.
Observation:
- A 23-year-old male presented with left hemiscrotal swelling.
- Imaging revealed a heterogeneous, predominantly solid paratesticular mass with internal vascularity and cystic areas.
- MRI showed hemorrhage and fat plane loss with the corpora cavernosa.
Findings:
- Histopathology confirmed an undifferentiated high-grade pleomorphic sarcoma.
- Preoperative imaging (ultrasound, CT, MRI) was essential for surgical planning.
- No locoregional or distant metastases were identified on CT.
Implications:
- Multi-modality imaging plays a vital role in paratesticular tumor evaluation.
- Imaging helps differentiate benign from malignant lesions and guides treatment strategies.
- Accurate preoperative assessment is key for surgical planning and adjuvant therapy decisions.
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