Evaluation of Testicular Nonseminomatous Germ Cell Tumor Using Contrast-Enhanced Ultrasound

Ultrasound is the first-line and established imaging modality for the diagnosis of testicular masses and neoplasms, with high sensitivity. Conventional ultrasound can very reliably detect presence of an intratesticular mass although it may not specifically characterize them as benign or malignant an...

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Main Authors: Vivek Gupta, Deepak Shah, Karan Gatiya, Shishira Shetty
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/crra/6614645
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author Vivek Gupta
Deepak Shah
Karan Gatiya
Shishira Shetty
author_facet Vivek Gupta
Deepak Shah
Karan Gatiya
Shishira Shetty
author_sort Vivek Gupta
collection DOAJ
description Ultrasound is the first-line and established imaging modality for the diagnosis of testicular masses and neoplasms, with high sensitivity. Conventional ultrasound can very reliably detect presence of an intratesticular mass although it may not specifically characterize them as benign or malignant and neoplastic or nonneoplastic or classify the type or subtype of neoplasm in every case. Contrast-enhanced ultrasound (CEUS) is a technique in which injected intravenous microbubbles can supplement the characterization of focal testicular masses through observation of real-time perfusion of the testis and the target mass. Testicular masses have been documented to demonstrate unique enhancing patterns on CEUS. We report a unique case involving a young male presenting with a palpable testicular mass in which CEUS aided in the diagnosis of testicular germ cell tumor. The diagnosis was subsequently confirmed by histopathological examination after surgery. This case report highlights the utility of CEUS as a useful complementary adjunct in diagnosing and characterizing nonseminomatous germ cell tumors of the testes with a review of the literature.
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publishDate 2025-01-01
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spelling doaj-art-d802a77d1c4341f1b44d6f3c99537f5a2025-08-20T03:13:12ZengWileyCase Reports in Radiology2090-68702025-01-01202510.1155/crra/6614645Evaluation of Testicular Nonseminomatous Germ Cell Tumor Using Contrast-Enhanced UltrasoundVivek Gupta0Deepak Shah1Karan Gatiya2Shishira Shetty3Department of RadiologyDepartment of SurgeryDepartment of RadiologyDepartment of Pediatric SurgeryUltrasound is the first-line and established imaging modality for the diagnosis of testicular masses and neoplasms, with high sensitivity. Conventional ultrasound can very reliably detect presence of an intratesticular mass although it may not specifically characterize them as benign or malignant and neoplastic or nonneoplastic or classify the type or subtype of neoplasm in every case. Contrast-enhanced ultrasound (CEUS) is a technique in which injected intravenous microbubbles can supplement the characterization of focal testicular masses through observation of real-time perfusion of the testis and the target mass. Testicular masses have been documented to demonstrate unique enhancing patterns on CEUS. We report a unique case involving a young male presenting with a palpable testicular mass in which CEUS aided in the diagnosis of testicular germ cell tumor. The diagnosis was subsequently confirmed by histopathological examination after surgery. This case report highlights the utility of CEUS as a useful complementary adjunct in diagnosing and characterizing nonseminomatous germ cell tumors of the testes with a review of the literature.http://dx.doi.org/10.1155/crra/6614645
spellingShingle Vivek Gupta
Deepak Shah
Karan Gatiya
Shishira Shetty
Evaluation of Testicular Nonseminomatous Germ Cell Tumor Using Contrast-Enhanced Ultrasound
Case Reports in Radiology
title Evaluation of Testicular Nonseminomatous Germ Cell Tumor Using Contrast-Enhanced Ultrasound
title_full Evaluation of Testicular Nonseminomatous Germ Cell Tumor Using Contrast-Enhanced Ultrasound
title_fullStr Evaluation of Testicular Nonseminomatous Germ Cell Tumor Using Contrast-Enhanced Ultrasound
title_full_unstemmed Evaluation of Testicular Nonseminomatous Germ Cell Tumor Using Contrast-Enhanced Ultrasound
title_short Evaluation of Testicular Nonseminomatous Germ Cell Tumor Using Contrast-Enhanced Ultrasound
title_sort evaluation of testicular nonseminomatous germ cell tumor using contrast enhanced ultrasound
url http://dx.doi.org/10.1155/crra/6614645
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AT shishirashetty evaluationoftesticularnonseminomatousgermcelltumorusingcontrastenhancedultrasound