Michele Bertolotto MD, Presenter: Nothing to Disclose

Paul Singh Sidhu MRCP, FRCR, Abstract Co-Author: Speaker, Bracco Group Speaker, Siemens AG Speaker, Hitachi, Ltd

Lorenzo Egildo Derchi MD, Abstract Co-Author: Nothing to Disclose

Rossana Bussani MD, Abstract Co-Author: Nothing to Disclose

Eleni Konstantatou MD, MSc, Abstract Co-Author: Nothing to Disclose

Maria Assunta Cova MD, Abstract Co-Author: Nothing to Disclose

Francesca Cacciato, Abstract Co-Author: Nothing to Disclose

Massimo Valentino MD, Abstract Co-Author: Nothing to Disclose

To illustrate the predominant elastographic features of different small testicular lesions focusing on those with atypical appearance or change their consistency over time. To illustrate the imaging features that allow differential diagnosis between benign and malignant lesions irrespective of elastographic appearance.

Real time elastography is an emerging technique in imaging scrotal pathologies. In general, cancers are harder than the surrounding parenchyma and benign condition are soft. However, exceptions exist to this rule. Moreover, lesions can change consistency over time depending on their evolution. Multiparametric imaging and other diagnostic information, such as the patient history and tumor markers, are very useful elements in determining a correct diagnosis. We present a spectrum of benign and malignant small focal testicular lesions presenting with atypical appearance at elastography of which changed in consistency over time. Among them: seminoma, leydigoma, circumscribed fibrotic changes, epidermoid cyst, adenomatoid tumor, lipoma, intratesticular hematoma, inflammatory changes, sarcoidosis, segmental testicular infarction.

http://abstract.rsna.org/uploads/2014/14014093/14014093_7vuj.pdf

Bertolotto, M, Sidhu, P, Derchi, L, Bussani, R, Konstantatou, E, Cova, M, Cacciato, F, Valentino, M, Elastography of Small Testicular Masses: Not all Hard Lesions Are Malignant Nor Benign Lumps are Always Soft, and Some Change Consistency.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14014093.html