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Case of the Month

November 2018

Patient Data: Middle age male patient examined for SONOZORG a primary care ultrasound facility

Clinical Info: Vague scrotal pain


74684-Afbeelding1.jpg
Wedge shaped lesion in the testis is this a testicular infarct yes or no


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Another image of the same testis


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Another image of the same testis


74687-Afbeelding3.jpg
Another image of the same testis


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Another image of the same testis. Would you leave it this way and what would you do?


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Always use the color doppler!!


74690-Afbeelding6.jpg
Another color doppler image. The lesion is highly vascularized so it can't be an infarct. So the patient was referred to the urologist who performed an orchidectomy. The lesions proved to be a malignant lymphoma


74691-Afbeelding7.jpg
This is the testis of another patient with malignant lymphoma of the testis


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Again this lesion is highly vascularized


74693-Afbeelding9.jpg
This is the testis of a similar looking case. This proved to be a chronic inflammation and not a lymphoma


74694-Afbeelding10.jpg
Again the area is highly vascularized.


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Another middle age male with a similar looking testis


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This proved to be a seminoma in a slightly older patient


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This is a patient with a small infarct


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This is a patient with a small infarct that doesn't show any flow

The patient did not have testis infarcts but a malignant lymphoma of the testis

For more examples of testicular infarcts or testicular lymphoma see

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