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Joseph Junewick, MD FACR
over 11 years ago
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Testicular Leukemia Recurrence

Case Detail

Anatomy: Genitourinary
Joseph Junewick, MD FACR
Diagnostic Category: Neoplasia Benign
Created: over 10 years ago
Updated: over 10 years ago
Tags: PEDS
Modality/Study Types: US
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7 year male with scrotal enlargement and a history of ALL.

Case Images


Testicular Leukemia Recurrence


US – Large hypoechoic and hypervascular mass of the left testicle.


Leukemic infiltration of the testicle is often the first site of extramedullary relapse. Testicular involvement is seen in 8% of children with leukemia and usually indicates disseminated disease. Testicular leukemia occurs in the interstitium and may be diffuse or focal. Lesions are usually hypoechoic and hypervascular; testicular shape and contour are usually maintained.


Mazzu D, Jeffreys RB, Ralls PW. Lymphoma and leukemia involving the testicles: findings on gray-scale and color Doppler sonography. AJR (1995); 164:645-647.


Jessica Warners RDMS

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