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Differential diagnosis of focal epididymal lesions with gray scale sonographic, color Doppler sonographic, and clinical features.
J Ultrasound Med. 2003 Feb; 22(2):135-42; quiz 143-4.JU

Abstract

OBJECTIVE

To determine whether focal epididymal lesions can be differentiated on gray scale sonographic, color Doppler sonographic, and clinical features.

METHODS

This was a retrospectiveanalysis of 60 focal epididymal lesions in 57 patients. Focal epididymal lesions were classified into 3 groups: nonspecific epididymitis (n = 43), tuberculous epididymitis (n = 10), and benign epididymal masses (n = 7). The following gray scale sonographic, color Doppler sonographic, and clinical features were analyzed: size, location, echogenicity, and heterogeneity of the lesion; hypoechoic or hyperechoic rim presence; hydrocele presence; degree of blood flow in the lesion; patient's age; duration of symptoms; and scrotal tenderness.

RESULTS

Lesions were larger in patients with tuberculous epididymitis than in those with either nonspecific epididymitis (P = .007) or benign epididymal masses (P = .0017). The hypoechoic or hyperechoic rim of the lesion was more common in patients with benign epididymal masses than in those with nonspecific epididymitis (P = .002). The degree of blood flow in the lesion was greater in patients with nonspecific epididymitis than in those with either tuberculous epididymitis (P = .0019) or benign epididymal masses (P < .001). The duration of symptoms was shorter in patients with nonspecific epididymitis than in those with either tuberculous epididymitis (P < .001) or benign epididymal masses (P = .0092). The frequency of scrotal tenderness was higher in patients with nonspecific epididymitis than in those with either tuberculous epididymitis (P < .001) or benign epididymal masses (P < .001).

CONCLUSIONS

Gray scale sonographic, color Doppler sonographic, and some clinical features may be helpful for differential diagnosis of focal epididymal lesions.

Authors+Show Affiliations

Department of Radiology, Gachon Medical School, Gil Medical Center, Incheon, South Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12562118

Citation

Yang, Dal Mo, et al. "Differential Diagnosis of Focal Epididymal Lesions With Gray Scale Sonographic, Color Doppler Sonographic, and Clinical Features." Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine, vol. 22, no. 2, 2003, pp. 135-42; quiz 143-4.
Yang DM, Kim SH, Kim HN, et al. Differential diagnosis of focal epididymal lesions with gray scale sonographic, color Doppler sonographic, and clinical features. J Ultrasound Med. 2003;22(2):135-42; quiz 143-4.
Yang, D. M., Kim, S. H., Kim, H. N., Kang, J. H., Seo, T. S., Hwang, H. Y., Kim, H. S., & Cho, H. (2003). Differential diagnosis of focal epididymal lesions with gray scale sonographic, color Doppler sonographic, and clinical features. Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine, 22(2), 135-42; quiz 143-4.
Yang DM, et al. Differential Diagnosis of Focal Epididymal Lesions With Gray Scale Sonographic, Color Doppler Sonographic, and Clinical Features. J Ultrasound Med. 2003;22(2):135-42; quiz 143-4. PubMed PMID: 12562118.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Differential diagnosis of focal epididymal lesions with gray scale sonographic, color Doppler sonographic, and clinical features. AU - Yang,Dal Mo, AU - Kim,Sun Ho, AU - Kim,Ha Na, AU - Kang,Jee Hee, AU - Seo,Tae Seok, AU - Hwang,Hee Young, AU - Kim,Hyung Sik, AU - Cho,Hyuni, PY - 2003/2/4/pubmed PY - 2003/5/7/medline PY - 2003/2/4/entrez SP - 135-42; quiz 143-4 JF - Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine JO - J Ultrasound Med VL - 22 IS - 2 N2 - OBJECTIVE: To determine whether focal epididymal lesions can be differentiated on gray scale sonographic, color Doppler sonographic, and clinical features. METHODS: This was a retrospectiveanalysis of 60 focal epididymal lesions in 57 patients. Focal epididymal lesions were classified into 3 groups: nonspecific epididymitis (n = 43), tuberculous epididymitis (n = 10), and benign epididymal masses (n = 7). The following gray scale sonographic, color Doppler sonographic, and clinical features were analyzed: size, location, echogenicity, and heterogeneity of the lesion; hypoechoic or hyperechoic rim presence; hydrocele presence; degree of blood flow in the lesion; patient's age; duration of symptoms; and scrotal tenderness. RESULTS: Lesions were larger in patients with tuberculous epididymitis than in those with either nonspecific epididymitis (P = .007) or benign epididymal masses (P = .0017). The hypoechoic or hyperechoic rim of the lesion was more common in patients with benign epididymal masses than in those with nonspecific epididymitis (P = .002). The degree of blood flow in the lesion was greater in patients with nonspecific epididymitis than in those with either tuberculous epididymitis (P = .0019) or benign epididymal masses (P < .001). The duration of symptoms was shorter in patients with nonspecific epididymitis than in those with either tuberculous epididymitis (P < .001) or benign epididymal masses (P = .0092). The frequency of scrotal tenderness was higher in patients with nonspecific epididymitis than in those with either tuberculous epididymitis (P < .001) or benign epididymal masses (P < .001). CONCLUSIONS: Gray scale sonographic, color Doppler sonographic, and some clinical features may be helpful for differential diagnosis of focal epididymal lesions. SN - 0278-4297 UR - https://www.unboundmedicine.com/medline/citation/12562118/Differential_diagnosis_of_focal_epididymal_lesions_with_gray_scale_sonographic_color_Doppler_sonographic_and_clinical_features_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&amp;sid=nlm:pubmed&amp;issn=0278-4297&amp;date=2003&amp;volume=22&amp;issue=2&amp;spage=135 DB - PRIME DP - Unbound Medicine ER -