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Postgraduate Medical Journal 2004;80:740
© 2004 Fellowship of Postgraduate Medicine

SELF ASSESSMENT QUESTION

Testicular mass

Testicular mass in a resting cell

S Puppala , M Taneja , D Cochlin

Department of Radiology, University Hospital of Wales, Cardiff, UK

Correspondence to:
Correspondence to:
Dr Sapna Puppala
University Hospital of Wales, Cardiff CF14 4XW, UK; puppalasapna@hotmail.com

Submitted 13 August 2003
Accepted 2 October 2003

Answers on p742.

The first 100% of the full text of this article appears below.

A 21 year old man was referred by his general practitioner for an ultrasound evaluation of bilateral testicular masses. The masses were insidious in onset, slow growing, and palpable. There were no other local signs. The patient was also under the care of an endocrinologist for congenital adrenal hyperplasia.

His current therapy included hormone replacement with oral steroids.

However the patient was non-compliant with regards to his medication. An ultrasound scan was performed as shown in figs 1Go and 2Go.


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  		Figure 1  Left testis.

 

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  		Figure 2  Right testis.

 

QUESTIONS
  1. What does the ultrasound scan show?
  2. Given the patient’s history, what is the diagnosis?
  3. Describe the pathophysiology of these lesions?
  4. What is the role of imaging in the management of these lesions?


Relevant Article

Testicular mass in a resting cell
Postgrad. Med. J. 2004 80: 742-743. [Extract] [Full Text] [PDF]





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