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超声检查结果不确定的阴囊肿块:磁共振成像在特征性诊断中的作用

Sonographically indeterminate scrotal masses: how MRI helps in characterization.

作者信息

Tsili Athina C, Bertolotto Michele, Rocher Laurence, Turgut Ahmet Tuncay, Dogra Vikram, Seçil Mustafa, Freeman Simon, Belfield Jane, Studniarek Michal, Ntorkou Alexandra, Derchi Lorenzo E, Oyen Raymond, Ramchandani Parvati, Ramanathan Subramaniyan, Richenberg Jonathan

机构信息

Department of Clinical Radiology, Medical School, University of Ioannina, University Campus, Ioannina, Greece.

Uco di Radiologia, Universita di Trieste, Trieste, Italy.

出版信息

Diagn Interv Radiol. 2018 Jul;24(4):225-236. doi: 10.5152/dir.2018.17400.

Abstract

Magnetic resonance imaging (MRI) of the scrotum represents a useful supplemental imaging technique in the characterization of scrotal masses, particularly recommended in cases of nondiagnostic ultrasonographic findings. An accurate characterization of the benign nature of scrotal masses, including both intratesticular and paratesticular ones may improve patient management and decrease the number of unnecessary radical surgical procedures. Alternative treatment strategies, including follow-up, lesion biopsy, tumor enucleation, or organ sparing surgery may be recommended. The aim of this pictorial review is to present how MRI helps in the characterization of sonographically indeterminate scrotal masses and to emphasize the key MRI features of benign scrotal masses.

摘要

阴囊磁共振成像(MRI)是一种有用的补充成像技术,可用于阴囊肿块的特征性诊断,在超声检查结果不明确的情况下尤其推荐使用。准确鉴别阴囊肿块(包括睾丸内和睾丸旁肿块)的良性性质,有助于改善患者的治疗管理,并减少不必要的根治性手术数量。可能会推荐其他治疗策略,包括随访、病变活检、肿瘤剜除术或保留器官手术。本图谱综述的目的是展示MRI如何有助于鉴别超声检查结果不确定的阴囊肿块,并强调良性阴囊肿块的关键MRI特征。

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