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Partial Testicular Torsion
Joseph Junewick, MD FACR
over 6 years ago
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Relapsed Leukemia - Testicle

Case Detail

Anatomy: Genitourinary
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Neoplasia Malignant
Created: over 6 years ago
Updated: over 6 years ago
Tags: PEDS
Modality/Study Types: US
Activities:
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History

9 year old with history of leukemia and asymmetric testicular size.


Case Images


Diagnosis

Relapsed Leukemia – Testicle

Findings

US – Enlarged hypoechoic right testicle with hyperemia (right testicular calculated volume twice that of the left).

Discussion

Leukemic infiltration to the testis has been found at autopsy in 40%–65% of patients with acute leukemia and in 20%–35% of patients with chronic leukemia. Testicular involvement with acute lymphoblastic leukemia is reported in 5%–10% of patients, with the majority found during clinical remission. A blood-testis barrier limiting the effect of chemotherapeutic agents in the testes explains the persistence of leukemia in the testes after remission. Any patient with a testicular mass found during the course of leukemia should undergo cytologic or histologic evaluation, because chemotherapy does not completely eliminate tumor cells from the testes. The US appearance is similar to that of lymphoma.

Reference

Dogra VS, Gottlieb RH, Oka M,et al. Sonography of the Scrotum. Radiology (2003); 227:18-36.



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