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Lymphoma of the spermatic cord: Sonographic appearance
Authors:Michele Bertolotto MD  Antonio Borsato MD  Lorenzo E Derchi MD
Institution:1. Department of Radiology, University of Trieste, , 34149 Trieste, Italy;2. Department of Pathology, Casa di Cura Giovanni XXIII, , 31050 Monastier di Treviso, Italy;3. Department of Radiology, University of Genoa, , 16132 Genova, Italy
Abstract:Primary lymphoma of the spermatic cord is a rare disease accounting for about 1.6% of primary spermatic cord tumors. We hereby present a new case in which color Doppler ultrasound (US), contrast‐enhanced US, and MRI suggested a specific diagnosis that was subsequently confirmed pathologically. Color Doppler US revealed mostly hypoechoic, slighly hypervascular tissue surrounding the normal spermatic vessels, which was markedly hypervascular at contrast‐enhanced US. MRI showed diffuse infiltration by homogeneously enhancing tissue surrounding the spermatic vessels hypointense to testis on T2‐weighted images, isointense on T1‐weighed images, lacking fat tissue, with relatively high signal intensity on diffusion‐weighted images. © 2014 Wiley Periodicals, Inc. J Clin Ultrasound 42 :509–512, 2014
Keywords:spermatic cord  lymphoma  ultrasonography  CEUS  MR imaging
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