Burned-Out Testis Tumors in Asymptomatic Infertile Men: Multiparametric Sonography and MRI Findings

J Ultrasound Med. 2017 Apr;36(4):821-831. doi: 10.7863/ultra.15.08037. Epub 2016 Dec 3.

Abstract

Multiparametric testicular ultrasound and magnetic resonance imaging (MRI) findings were analyzed in a series of 10 infertile asymptomatic men presenting with pathologically confirmed burned-out testicular tumors. Color/power Doppler ultrasound (CDUS), shear wave elastography (SWE), contrast-enhanced ultrasonography (CEUS), and MRI were performed on 10, 5, 6, and 7 patients, respectively. All lesions appeared as a hypoechoic and hypovascular nodular area at CDUS, SWE, CEUS CDUS, and CEUS (if performed). Shear wave elastography showed a stiffer nodular area compared with the surrounding/contralateral tissues (13 versus 2 kPa); MRI revealed a well-delineated nodular area in hypointense signal on T2, a high apparent diffusion coefficient value, and a lack of enhancement.

Keywords: color Doppler ultrasound; contrast-enhanced ultrasound; magnetic resonance imaging; male infertility; shear wave elastography; testis tumor.

MeSH terms

  • Adult
  • Contrast Media
  • Elasticity Imaging Techniques
  • Humans
  • Image Enhancement
  • Infertility / complications*
  • Magnetic Resonance Imaging / methods*
  • Male
  • Testicular Neoplasms / complications*
  • Testicular Neoplasms / diagnostic imaging*
  • Testis / diagnostic imaging
  • Ultrasonography / methods*
  • Ultrasonography, Doppler, Color

Substances

  • Contrast Media