Paratesticular Sarcoma: Typical Presentation, Imaging Features, and Clinical Challenges - 19/04/17
, Christina Messiou a, Khin Thway b, Dirk C. Strauss c, David L. Nicol c, d, Eleanor Moskovic aAbstract |
Objective |
To describe the major imaging features, together with clinical data, of paratesticular sarcomas.
Materials and Methods |
A retrospective analysis was performed of available imaging and clinical data of 77 consecutive cases of paratesticular sarcoma referred to the soft tissue sarcoma center at the Royal Marsden hospital between January 2006 and January 2015.
Results |
Of the total cases, 87% had been referred postoperatively, 43% of which had been imaged preoperatively and 24% of which required re-resection due to incomplete initial excision. On imaging, abnormal fat was present in 73% of paratesticular liposarcomas, with solid or enhancing components indicating high-grade tumors. Leiomyosarcomas and rhabdomyosarcomas were all purely solid masses.
Conclusion |
Paratesticular sarcomas are rare, and lack of awareness may compromise treatment and outcome. They may be mistaken for common clinical problems such as inguinal hernias and epididymal cysts. Surgery for these presumed diagnoses may result in inadequate clearance and an increased risk of recurrence. A low threshold for imaging atypical paratesticular masses is needed, as this may better inform management.
Le texte complet de cet article est disponible en PDF.Plan
| Financial Disclosure: The authors declare that they have no relevant financial interests. |
|
| IRB Statement: Appropriate local review board approval has been obtained for submission of this work. |
Vol 100
P. 163-168 - février 2017 Retour au numéro
Article précédent
- Histologic Abnormalities in Non-neoplastic Renal Parenchyma and the Risk of Chronic Kidney Disease Following Radical Nephrectomy
- Ricardo Brandina, Katia Ramos Moreira Leite, Emerson Pereira Gregório, Karen Barros Parron Fernandes, Miguel Srougi
- Use of Age and Medical Comorbidity to Assess Long-term Other-cause Mortality Risk in a Cohort of Men Undergoing Prostate Biopsy at an Academic Medical Center
- Hal D. Kominsky, Michael Bashline, Daniel Eun, Michel A. Pontari, Jack H. Mydlo, Adam C. Reese
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?