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Grayscale and Color Doppler Features of Testicular Lymphoma

2015; Wiley; Volume: 34; Issue: 6 Linguagem: Inglês

10.7863/ultra.34.6.1139

1550-9613

Michele Bertolotto, Lorenzo E. Derchi, Mustafa Seçil, Vikram S. Dogra, Paul S. Sidhu, R. Clements, Simon Freeman, N. Grenier, Lorenzo Mannelli, Parvati Ramchandani, Calogero Edoardo Cicero, Luca Abete, Rossana Bussani, L. Rocher, John Spencer, Athina C. Tsili, Massimo Valentino, Pietro Pavlica,

Sarcoma Diagnosis and Treatment

Pooled data from 16 radiology centers were retrospectively analyzed to seek patients with pathologically proven testicular lymphoma and grayscale and color Doppler images available for review. Forty-three cases were found: 36 (84%) primary and 7 (16%) secondary testicular lymphoma. With unilateral primary lymphoma, involvement was unifocal (n = 10), multifocal (n = 11), or diffuse (n = 11). Synchronous bilateral involvement occurred in 6 patients. Color Doppler sonography showed normal testicular vessels within the tumor in 31 of 43 lymphomas (72%). Testicular lymphoma infiltrates through the tubules, preserving the normal vascular architecture of the testis. Depiction of normal testicular vessels crossing the lesion is a useful adjunctive diagnostic criterion.