This book presents a comprehensive study of scrotal ultrasound, helping readers cope with the growing number of pathology pictures revealed by accurate ultrasound examinations, and highlighting the novel applications of contrast-enhanced ultrasonography and elastography.
This unique reference guide to scrotal ultrasonography draws on the accumulated expertise of the Experimental Medicine Department at “Sapienza” University, where the andrological ultrasonography unit has performed over 10,000 testicular ultrasound examinations for various conditions and explored experimental new imaging techniques. This core experience has been enriched by insightful contributions from several international experts to form one of the most comprehensive collections of ultrasound images, many in full color, of scrotal pathology in the world.
The book’s emphasis on functional interpretation of the images, supplemented by clinical data, make it a unique tool for clinical management. This approach is intended to increasingly familiarize clinicians with the potentials of ultrasonography, from the basics to the most advanced approaches, so as to encourage them to incorporate this examination as a central component of the diagnostic pathway
Chapter 1: Scrotal And Testicular Anatomy
Introduction
Layers Of The Scrotum
The Testis
The Epididymis
The Spermatic Cord
Arteries
Appendices
Examination Technique
Key Messages
Chapter 2: Non-Neoplastic Intratesticular Lesions
Introduction
Cysts
Intratesticular Cysts
Tunica Albuginea Cysts
Tunica Vaginalis Cysts
Dilatation Of Rete Testis
Cystic Ectasia Of The Testis
Age Related Dilatation Of The Rete Testis
Cystic Dysplasia Of The Rete Testis
Rete Testis Cystadenoma
Vasectomy
Epidermoid Cysts
Dermoid Cysts
Calcifications
Global And Segmental Ischemia
Others
Abscess
Adrenal Rest
Sarcoidosis
Testicular Atrophy
Trauma And Orchitis
Post Biopsy Scars
Intratesticular Varicocele
Fibrosis Of The Tunica Albuginea Testicular Gummas
Splenogonadal Fusion
Intratesticular Hematoma
Key Messages
Differential Diagnosis
Chapter 3: Neoplastic Intratesticular Lesions
Introduction
Germ Cell Tumours
Seminomatous Germ Cell Tumours
Non-Seminomatous Germ Cell Tumours
Embryonal Cell Carcinoma
Teratoma
Yolk Sac Tumour
Choriocarcinoma
Mixed Germ Cell Tumours
Regressed Or Primary Extragonadal Germ Cell Tumours
Stromal Cell Tumours
Leydig Cell Tumour
Sertoli Cell Tumour
Other Malignant Tumours
Lymphoma
Leukaemia
Myeloma
Carcinoid
Metastases
Non-Palpable Testicular Lesions: Benignity Vs Malignancy
Chapter 4: Extratesticular Lesions
Introduction
Epididymal Lesions
Epididymal Cysts And Spermatoceles
Inflammation And Infections Of The Epididymis
Epididymitis And Epididymal Abscess
Chronic Epididymitis And Fibrous Pseudotumour
Post-Inflammatory Epididymal Masses
Epididymal Tumours
Benign Epididymal Tumours
Malignant Epididymal Tumours
Spermatic Cord Lesions
Funiculitis
Tumours
Tunica Lesions
Fibrous Pseudotumor
Mesothelioma
Extratesticular Calcifications
Fluid Collections
Hernias
Chapter 5: Acute Scrotum
Introduction
Testicular Torsion
Torsion Of The Appendix Testis
Andrea M. Isidori is an Associate Professor of Endocrinology at the Endocrinology and Andrology Unit, Department of Experimental Medicine, Sapienza University of Rome, Italy. He serves on the Executive Committee of the European Academy of Andrology, as a member of the Scientific Commission of the Italian Society of Endocrinology, and participated in the 2015 International Consultation of Sexual Medicine. An associate editor of the journals “Endocrine” and the “European Journal of Endocrinology,” Prof. Isidori has been honored with several international awards, including the International Society of Andrology (ISA) “Young Andrologist Award” and the Young Carrier Award from the Italian Society of Endocrinology. He has authored more than 120 international peer-reviewed publications and is listed in the Italian Top Scientists. He completed his training at the St Bartholomew’s Hospital, Queen Mary University of London and Sapienza University – Policlinico Umberto I in Rome. He has published extensively on many aspects of advanced ultrasonography, pioneering the introduction of contrast-enhanced ultrasound and elastosonography for testicular disorders and neoplasms.
Andrea Lenzi is a Full Professor of Endocrinology at the Department of Experimental Medicine, Sapienza University in Rome, Italy. Prof. Lenzi is President of both the Italian Society of Endocrinology and the Italian Committee of Biosafety, Biotechnology and Life Sciences. He is the Director of the Andrology Unit, Reproductive Physiopathology and Endocrine Diagnosis, and Coordinator of Endocrinology Laboratories at the Policlinico Umberto I University Hospital in Rome, Italy. Prof. Lenzi is President of the Italian National University Council and Director of the Interuniversity Research Centre for Experimental Andrology, having previously served as Secretary General of the International Society for Immunology of Reproduction (1999-2004), the Alps-Adria Society for Immunology of Reproduction (1998-2001), and the Executive Council of the European Academy of Andrology (2002-2010). A former President of the Italian Society of Andrology and Medical Sexology (2008-2010), he now serves on the editorial boards of several international scientific journals and has published more than 300 original papers in respected international journals.
This book presents a comprehensive study of scrotal ultrasound, helping readers cope with the growing number of pathology pictures revealed by accurate ultrasound examinations, and highlighting the novel applications of contrast-enhanced ultrasonography and elastography.
This unique reference guide to scrotal ultrasonography draws on the accumulated expertise of the Experimental Medicine Department at “Sapienza” University, where the andrological ultrasonography unit has performed over 10,000 testicular ultrasound examinations for various conditions and explored experimental new imaging techniques. This core experience has been enriched by insightful contributions from several international experts to form one of the most comprehensive collections of ultrasound images, many in full color, of scrotal pathology in the world.
The book’s emphasis on functional interpretation of the images, supplemented by clinical data, make it a unique tool for clinical management. This approach is intended to increasingly familiarize clinicians with the potentials of ultrasonography, from the basics to the most advanced approaches, so as to encourage them to incorporate this examination as a central component of the diagnostic pathway
Provides outstanding sonographic iconography
Includes rare pathologic cases
Focuses on the functional interpretation of the images, which are supplemented by clinical data
Provides outstanding sonographic iconography
Includes rare pathologic cases
Focuses on the functional interpretation of the images, which are supplemented by clinical data
