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Urology (Expert Forum)
Solid Lesion found on Testicular Ultrasound
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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Solid Lesion found on Testicular Ultrasound
by momof03, May 18, 2007 12:00AM
My husband is 34 yrs old & had a testicular ultrasound after seeing our PP because of pain he began feeling. On physical exam he found a lump & put him on Cipro but sent him for an u/s just to be safe. He sees a urologist on Tuesday because of the findings on u/s. Here is what the u/s report reads:
Findings: There is bilateral testicular flow. The testicles are slightly inhomogeneous in appearance. No focal mass lesion is seen in the testicle. In the right lower scrotum there is an area of masslike density which on ultrasound exam appears to be separate from the testicle. This measures approximately 1 cm in diameter and reportedly is the area of palpable abnormality as demonstrated by the patient. This is a solid lesion of uncertain etiology. It does not appear to be within the right testicle but is in the right scrotal area. There are changes on the left suggesting a left varcocele.
Summary:
1. 1 cm mass lower medial right scrotum
2. Left testicular varcocele
3. Mild inhomogeneity of testicles without focal mass
What are the possibilites of a solid lesion in the scrotum? The u/s tech said it's on the wall of the testicle. What can this be since it's not infections and what can we expect at this appointment-what ?'s should we ask? No tumor markers checked-CBC showed AST was high at 51 (range 0-40) and uric acid high at 8.5 (2.4-8.2)…he does suffer w/gout.
Thanks so much
Findings: There is bilateral testicular flow. The testicles are slightly inhomogeneous in appearance. No focal mass lesion is seen in the testicle. In the right lower scrotum there is an area of masslike density which on ultrasound exam appears to be separate from the testicle. This measures approximately 1 cm in diameter and reportedly is the area of palpable abnormality as demonstrated by the patient. This is a solid lesion of uncertain etiology. It does not appear to be within the right testicle but is in the right scrotal area. There are changes on the left suggesting a left varcocele.
Summary:
1. 1 cm mass lower medial right scrotum
2. Left testicular varcocele
3. Mild inhomogeneity of testicles without focal mass
What are the possibilites of a solid lesion in the scrotum? The u/s tech said it's on the wall of the testicle. What can this be since it's not infections and what can we expect at this appointment-what ?'s should we ask? No tumor markers checked-CBC showed AST was high at 51 (range 0-40) and uric acid high at 8.5 (2.4-8.2)…he does suffer w/gout.
Thanks so much
Doctor's Answer
by Forum-M.D.-, May 19, 2007 12:00AM
It is reassuring to know that the mass is outside the testicle. It makes testicular cancer less likely.
Possibilities can include a soft-tissue cyst, epididymal cyst or abscess. A biopsy may give a more definitive diagnosis.
This option can be discussed with your personal physician or urologist.
Regarding the elevated liver enzymes, an abdominal ultrasound or blood tests to look for hepatitis can be considered.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Possibilities can include a soft-tissue cyst, epididymal cyst or abscess. A biopsy may give a more definitive diagnosis.
This option can be discussed with your personal physician or urologist.
Regarding the elevated liver enzymes, an abdominal ultrasound or blood tests to look for hepatitis can be considered.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
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