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Radiological features characterising indeterminate testes masses: a systematic review and meta-analysis
Michael Ager1, Sarah Donegan2, Luca Boeri3
1Department of Urology, Imperial College Healthcare NHS Trust, London, UK.
BJU International
|August 18, 2022
Summary
Scrotal ultrasonography (SUS) characteristics can help identify malignant testicular masses. Smaller size (≤0.5 cm), heterogeneous echogenicity, hyperechogenicity, normal enhancement, and peripheral vascularity on SUS are associated with a lower risk of malignancy.
Area of Science:
- Radiology
- Oncology
- Urology
Background:
- Scrotal ultrasonography (SUS) use has increased the detection of indeterminate testicular masses.
- Defining radiological features of malignancy may reduce unnecessary radical orchidectomies.
Conclusions:
- Identified radiological characteristics via meta-analysis that are associated with a lower odds ratio of malignancy.
- These findings may assist in managing indeterminate testicular masses, potentially reducing unnecessary surgeries.
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