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Nonpalpable intratesticular masses detected sonographically
C V Comiter1, C J Benson, C C Capelouto
1Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Purpose:
There is controversy concerning the implications of impalpable testicular masses. We examine the sonographic findings and pathology of such tumors.
Materials And Methods:
Between 1985 and 1994, 3,019 scrotal ultrasound studies were performed for various indications and 15 impalpable masses were discovered.
Results:
Pathological study revealed 5 seminomas, 6 nonseminomas, 2 "burned-out" tumors, 1 lipoma and 1 granuloma.
Conclusions:
Impalpable intratesticular masses are likely to be malignant. Any young man with retroperitoneal or visceral masses should undergo scrotal ultrasound. A testicular mass is likely to be the primary cancer but it may be regressed. Persistent scrotal pain may be a presentation of malignancy and should be evaluated with ultrasound.