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Ultrasound remains as the mainstay in scrotal imaging not only because of its high accuracy, excellent depiction of scrotal anatomy, low cost and wide availability, it is also useful in determining whether a mass is intra- or extra-testicular, thus providing us useful and valuable information to decide whether a mass is benign or malignant even ...
A scrotal mass can be noncancerous or cancerous . [2] Benign scrotal masses will include hematocele which is a blood collection in the scrotum. [2] A scrotal hematocele is also called a hemoscrotum (or haemoscrotum in British English). Scrotal masses are abnormalities in the bag of skin hanging behind the penis (scrotum). [7]
An epididymal cyst, a benign cystic fluid collection in the scrotum, usually manifests as a painless swelling on top of the testicle and can be inadvertently discovered during a physical examination. [2] The most typical clinical findings are scrotal mass and pain. [1]
The location and history of any scrotal masses are crucial in determining whether or not the mass is benign or malignant. [21] Lab tests such as a complete blood count (CBC test) or urine test can also be conducted to check for any possible infection or signs of inflammation. [22] Spermatoceles come in varying sizes and shapes.
Scrotal ultrasound of a 10 cm large hydrocele testis, with anechoic (dark) fluid surrounding the testicle. Communicating hydrocele testis, caused by the failure of the processus vaginalis closure. Through diagnostic ultrasound the accumulation of fluids can be diagnosed correctly.
It is the most common extratesticular neoplasm after lipoma, and accounts for 30% of these masses. [4] On the other hand, adenomatoid tumors are the most common tumors of testicular adnexa. Although they are more common to be found in the paratesticular region they are sometimes found in the intratesticular region.
A 45 year old man presented with right testicular chronic pain. He had a vasectomy 7 years ago. Upon physical examination and an ultrasound, a solid nodule in the right epididymis was found, and medical staff suspected a tumor. After findings of sperm that had undergone phagocytosis, a final diagnosis of sperm granuloma was determined. [14]
Testicular sarcoidosis can present as a diffuse painless scrotal mass or can mimic acute epididymo-orchitis. Usually it appears with systemic manifestations of the disease. [ 3 ] Since it causes occlusion and fibrosis of the ductus epididymis, fertility may be affected. [ 4 ]