Determining an Approach to Small Testicular Masses by Examining Scrotal Doppler Ultrasonography and Serum Tumor Markers

• DOI: 10.4274/jus.galenos.2022.2021.0123
• Publication Date: 2022-12-08T07:29:13Z
• Authors: İbrahim Erol
• Keywords: Testicular tumor; Doppler sonography

Objective: In our study, we retrospectively analyzed the pathology results of radical orchiectomy operations performed in clinic and to correlate preoperative color Doppler ultrasonography (CDUSG) findings with small-testicular masses (SmTM) negative serum tumor markers (STM). Materials Methods:Male patients (n=98) who underwent between January 2010 2021 treat intratesticular solid lesions that were detected via CDUSG evaluated retrospectively.All terms age, atrophic testis, echogenicity, size tumoral lesions, testicular palpability, STM postoperative results.Results: Expression at least one was elevated 58 (59.2%) preoperatively.STM elevation continued occur 25 (25.5%)patients postoperatively; furthermore, 81 (82.7%) presented malignant pathology.The mean age 39.47±15.20 years, whereas benign higher than (p=0.008).The significantly greater (5.4 vs 3.5 cm; p=0.033).Statistically STM, lower heterogeneity CDUSG, large lesion found as parameters predicting malignancy.Although 9 (45%) 20 STM-negative a smaller 3 cm benign, 6 (75%) 8 1.5 cm. Conclusion:CDUSG plays an important role detecting small non-palpable masses.Especially SmTM, can reasonably guide decision-making phase although it cannot provide definitive diagnosis.Radical orchiectomy, which is traditional approach for all leads unnecessary treatment so testicular-sparing surgery should be preferred SmTMs because risk cancer low.