[Non-palpable testicular tumors in adults: A management based on imaging? Issue from the French Urologic Association Genital Cancer committee's edit]. / Tumeurs testiculaires non palpables chez l'adulte : vers une prise en charge guidée par l'imagerie ? Une mise au point du Groupe organe génitaux externes du comité de cancérologie de l'Association française d'urologie.
Prog Urol
; 28(8-9): 407-415, 2018 Jun.
Article
em Fr
| MEDLINE
| ID: mdl-29650457
ABSTRACT
BACKGROUND:
Help in management of non-palpable testicular tumors. French Urologic Association Genital cancer committee's Edit.OBJECTIVES:
To review their characterization at imaging findings of non-palpable testicular tumors. DOCUMENTARY SOURCES Literature review (PubMed, Medline) of urological and radiological studies dealing with testicular tumors using keywords non-palpable/incidental testicular tumors; color Doppler ultrasound; US elastography; magnetic resonance imaging; contrast enhanced sonography; partial surgery.RESULTS:
Color Doppler is the basic exam. The size, the presence of microlithts/microlithiasis/macrocalcifications, the vascular architecture are major semiological findings to suggest the benign or the malignant nature of the lesion. Other techniques like multiparametric MRI, contrast-enhanced sonography, sonographic elastography are still in evaluation. The frequency of benign tumors such as Leydig cell tumors lead to preservation management, through improved characterization, monitoring or tumorectomy. LIMITS Non-randomized study - a very few prospective studies.CONCLUSION:
The era of total orchiectomy for any uncertain testicular lesion is over. We try the challenge of characterization, and define management's algorithms based on the suspected nature of the tumors.Palavras-chave
Chirurgie conservatrice; Color Doppler ultrasound; Contrast-enhanced sonography; Imagerie par résonance magnétique; Magnetic resonance imaging; Non-palpable/incidental testicular tumors; Partial surgery; Tumeur testiculaire non palpable; US elastography; Écho-Doppler couleur; Échographie de contraste; Élastographie
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Testiculares
/
Cirurgia Assistida por Computador
/
Técnicas de Diagnóstico Urológico
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
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Observational_studies
/
Risk_factors_studies
Limite:
Adult
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Humans
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Male
País/Região como assunto:
Europa
Idioma:
Fr
Ano de publicação:
2018
Tipo de documento:
Article