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Clinical Trial
. 1995 Oct;154(4):1367-9.

Nonpalpable intratesticular masses detected sonographically

C V Comiter  1 , C J Benson, C C Capelouto, P Kantoff, L Shulman, J P Richie, K R Loughlin
Affiliations
  • PMID: 7658540
Clinical Trial

Nonpalpable intratesticular masses detected sonographically

C V Comiter et al. J Urol. 1995 Oct.

Abstract

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.

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