The Clinical Study of Diagnostic Value in Primary Testicular Lymphoma by Methods of Ultrasound, CT and MRI

doi:10.7517/issn.1674-0475.200304

Abstract

Abstract: To investigate the clinical value of ultrasonography, CT and MRI in the diagnosis of primary testicular lymphoma (PTL). To analyze the clinical data, histopathology, ultrasound, CT and MRI features of 11 patients with PTL confirmed by operation and pathology retrospectively,and compared with the postoperative pathological results. There were 11 sides of testis with low and slightly low echo and 6 sides with uneven echo in 10 cases. CDFI showed that there were abundant blood flow signals in hypoechoic area of testis.6 sides of testis in 5 patients showed equal or slightly low density, unclear boundary, and medium or even enhancement. In 11 patients, 13 testicular tumors showed diffuse mass on MRI, while on T1WI, they all showed uniform and low signal. On T2WI, 6 testicular tumors showed uniform and low signal, 3 testicles showed mixed signal with low signal, 4 testicles showed slightly high signal. The postoperative pathology was diffuse large B cell lymphoma. Ultrasound, CT and MRI have their own advantages in the diagnosis of PTL, and each has a relatively specific sign. Combined with three examination methods, it is helpful for diagnosis and differential diagnosis.

Key words: testis neoplasms, lymphoma, ultrasound, tomography, X-ray computer, magnetic resonance imaging

HU Xingrong, ZHU Xin, GUI Dan, ZHAO Huiyan, CHEN Huadong, HUANG Zhihua. The Clinical Study of Diagnostic Value in Primary Testicular Lymphoma by Methods of Ultrasound, CT and MRI[J]. Imaging Science and Photochemistry, 2020, 38(6): 994-999.

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