Milner S J, Blease S C
Department of Surgery, Princess Alexandra Hospital, Royal Air Force Wroughton, Swindon, Wilts.
Br J Radiol. 1990 Apr;63(748):263-5. doi: 10.1259/0007-1285-63-748-263.
Many recent studies have confirmed the ability of ultrasound to elucidate scrotal pathology, but its place in the work-up of specific testicular problems is not yet fully defined. We investigated 15 cases where a firm clinical diagnosis of testicular malignancy was made. All cases progressed to orchidectomy. Scrotal ultrasound refuted the diagnosis of malignancy in seven cases with subsequent histological proof of benignity. However, the nature and extent of the benign disease was such that, on review, orchidectomy was considered to be the most appropriate method of treating the patient. We contend that in the case of firm clinical diagnosis of testicular malignancy, an ultrasound diagnosis of benignity will not alter management, and it is therefore not an essential part of the work-up in this group of patients.
近期许多研究证实了超声检查在阐明阴囊病变方面的能力，但其在特定睾丸问题检查中的地位尚未完全明确。我们对15例临床确诊为睾丸恶性肿瘤的病例进行了研究。所有病例均接受了睾丸切除术。阴囊超声检查否定了7例恶性肿瘤的诊断，随后的组织学检查证实为良性。然而，良性疾病的性质和范围表明，经复查，睾丸切除术被认为是治疗患者的最合适方法。我们认为，对于临床确诊为睾丸恶性肿瘤的病例，超声诊断为良性并不会改变治疗方案，因此在这类患者的检查中，超声检查并非必不可少的一部分。
