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Grayscale and Color Doppler Features of Testicular Lymphoma
Authors:Michele Bertolotto MD  Lorenzo E. Derchi MD  Mustafa Secil MD  Vikram Dogra MD  Paul S. Sidhu MD  Richard Clements MD  Simon Freeman MD  Nicolas Grenier MD  Lorenzo Mannelli MD  Parvati Ramchandani MD  Calogero Cicero MD  Luca Abete MD  Rossana Bussani MD  Laurence Rocher MD  John Spencer MD  Athina Tsili MD  Massimo Valentino MD  Pietro Pavlica MD
Affiliation:1. Department of Radiology, University of Trieste, Trieste, Italy;2. Dipartimento di Scienze della Salute, Department of Radiology, University of Genoa, Genoa, Italy;3. Department of Radiology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey;4. University of Rochester School of Medicine and Dentistry, Rochester, New York USA;5. Department of Radiology, King's College Hospital, London, England;6. Department of Radiology, Royal Gwent Hospital, Newport, England;7. X-Ray West, Derriford Hospital, Plymouth, England;8. Service d'Imagerie Diagnostique et Interventionnelle de l'Adulte, Groupe Hospitalier Pellegrin, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France;9. Department of Radiology, Memorial Sloan‐Kettering Cancer Center, New York, New York USA;10. Department of Genitourinary Radiology, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania USA;11. Department of Radiology, Ospedale San Bassiano, Bassano del Grappa, Italy;12. Dipartimento Scienze Chirurgiche, Settore Anatomia Patologica, University of Genoa, Genoa, Italy;13. Department of Pathology, University of Trieste, Trieste, Italy;14. Department of Radiology, H?pital de Bicêtre, Paris, France;15. Department of Clinical Radiology, St James Institute of Oncology, Leeds England;16. Department of Clinical Radiology, Medical School, University of Ioannina, Ioannina, Greece;17. Department of Radiology, Ospedale Sant'Antonio Abate, Tolmezzo, Italy;18. Servizio di Diagnostica per Immagini, Villalba Hospital, Bologna, Italy
Abstract:Pooled data from 16 radiology centers were retrospectively analyzed to seek patients with pathologically proven testicular lymphoma and grayscale and color Doppler images available for review. Forty‐three cases were found: 36 (84%) primary and 7 (16%) secondary testicular lymphoma. With unilateral primary lymphoma, involvement was unifocal (n = 10), multifocal (n = 11), or diffuse (n = 11). Synchronous bilateral involvement occurred in 6 patients. Color Doppler sonography showed normal testicular vessels within the tumor in 31 of 43 lymphomas (72%). Testicular lymphoma infiltrates through the tubules, preserving the normal vascular architecture of the testis. Depiction of normal testicular vessels crossing the lesion is a useful adjunctive diagnostic criterion.
Keywords:color Doppler sonography  genitourinary ultrasound  non-Hodgkin testicular lymphoma  testicular lymphoma  testicular neoplasms  testicular sonography
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