A Comparative Study of Scrotal Pathologies by Ultrasound and Their Correlation with CT and MRI
Background: The scrotum is a readily examinable structure clinically in normal conditions. However, in cases of swelling and tenderness, its clinical examination alone may not reveal any significant information. Therefore, imaging techniques such as ultrasound including CT and MRI may be required in...
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Published in | Perspectives in medical research Vol. 9; no. 1; pp. 54 - 58 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
Prathima Institute of Medical Sciences
01.07.2021
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Subjects | |
Online Access | Get full text |
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Summary: | Background: The scrotum is a readily examinable structure
clinically in normal conditions. However, in cases of swelling
and tenderness, its clinical examination alone may not reveal
any significant information. Therefore, imaging techniques such
as ultrasound including CT and MRI may be required in cases.
We in the current study tried to evaluate the role of ultrasound,
CT, and MRI in the evaluation of scrotal pathologies.
Methods: All the cases of scrotal pathologies referred from
the Departments of Urology and General Surgery, were
included in the study. All the patients were studied using Highfrequency real-time grayscale ultrasonography and Doppler.
Before subjecting the patients for ultrasound examination,
patient details, detailed clinical history was obtained along with
thorough physical examination. The color Doppler sonography
was routinely performed in all these patients. Subsequently,
these cases were followed up and correlated with
histopathology report, fine needle aspiration cytology results,
surgical findings, response to treatment.
Results: Out of n=50 cases studied most of the casesClinically
presented with a combination of multiple symptoms wasscrotal
swelling, as in n=18 cases (36%).Out of which n=30(60%) were
unilateral and n=20(40%) werebilateral.Combination of pain,
swelling, and fever in four cases (8%). The n=30 unilateral
swelling showed n=14 cases of right-side involvement and n=16
cases of left-side involvement. Of n=5 cases of congenital
anomaly associated with the descent of testes, n=2 cases were
referred with clinical suspicion of incompletely descended
testes, which were clinically palpable. 4% cases of scrotal and
testicular trauma were detected. Among non-neoplastic scrotal
swellings, hydrocele is the commonest pathology noted in n=9
cases. Epididymal cyst in n=2 cases, varicocele in n=6 cases.
Conclusion:
ultrasonography is best for the demonstration of
morphological changes due to acute scrotal inflammation. The
color doppler sonography can accurately differentiate between
testicular ischemia and torsion from acute inflammatory
diseases. High-frequency ultrasonography with Doppler is
highly sensitive in demonstrating the varicoceles. MRI provides
better delineation of borders, cystic components, and tissue
signal intensities of the testicular masses. CT is the imaging
modality of choice for detecting metastatic deposits |
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ISSN: | 2348-1447 2348-229X |
DOI: | 10.47799/pimr.0901.11 |