Rodríguez-Patrón Rodríguez Rafael, Mayayo Dehesa Teodoro, Lennie Zucharino Alberto, Briones Mardones Gabriel, Sanz Mayayo Enrique, Gómez García Ignacio, Escudero Barrilero Angel
Unidad de Ecografia Urológica, Hospital Ramón y Cajal, Madrid, España.
Arch Esp Urol. 2003 Jun;56(5):509-20.
To review the main images that can be observed by ultrasound, trying to highlight what decision to take after their finding: exploratory surgery, orchyectomy, or follow-up.
We performed a bibliographic review about the topic and incorporated our personal experience with scrotal ultrasound. Given that there is an extensive variety of anomalies that can be observed we divide them in liquid and solid lesions, and these in intra or extratesticular, plus a group of lesions that do not qualify in the previous groups.
The development of high frequencies transducers (8-10 Mhz) and a greater experience today allows to diagnose not only testicular tumors but also a number of benign clinical entities, with enough specificity in some of them as to avoid surgery.
Ultrasound is a simple test, painless, and can be repeated without trouble, so that it is the first test that should be ordered when managing any intra scrotal problem.
回顾超声可观察到的主要图像，试图强调在发现这些图像后应做出何种决策：探查性手术、睾丸切除术或随访。
我们对该主题进行了文献综述，并纳入了我们个人在阴囊超声方面的经验。鉴于可观察到的异常种类繁多，我们将它们分为液性和实性病变，这些病变又分为睾丸内或睾丸外病变，另外还有一组不符合前几组分类的病变。
高频探头（8 - 10兆赫）的发展以及如今更多的经验使得不仅能够诊断睾丸肿瘤，还能诊断许多良性临床实体，其中一些具有足够的特异性，可避免手术。
超声是一项简单、无痛且可反复进行而无问题的检查，因此在处理任何阴囊内问题时，它是首先应安排的检查。
