High reliability of scrotal ultrasonography in the management of childhood primary XXXX .

@entity1 @entity10523 @entity251 @entity75 @entity5 @entity8702 @entity1062
BACKGROUND: The role for testis-sparing surgery in the treatment of primary @entity75 in childhood is growing. The reliability of scrotal ultrasonograpy (US) in the management of these lesions is still controversial. @entity1 : Between 1991 and 2007, 383 @entity1 and adolescents presented with @entity10523 . Ultrasound results and records of @entity1 with primary @entity1062 were analyzed. RESULTS: 12 of 383 @entity1 (3.1%) had a histologically proven primary intratesticular @entity5 . Scrotal US was highly sensitive for the detection of these lesions. @entity1 ' mean age at initial US was 6 years (9 prepubertal, 3 juvenile @entity1 ). The most frequent symptom was a painless unilateral scrotal mass (75%). Tumor markers or @entity251 were elevated in 6/12 @entity1 . Histology was intratesticular germ cell in 7, sexcord @entity5 in 4 and @entity8702 in 1 @entity1 . US correctly distinguished between benign and malignant lesions in all cases. When combined with clinical symptoms, US predicted 75% of histologies. After including hormone and @entity5 marker levels, a correct preoperative diagnosis was made for all @entity1 with germ cell, and for 75% of @entity1 with sexcord @entity5 . CONCLUSION: Scrotal US is highly sensitive for the detection of childhood primary @entity5 and, when combined with clinical data, highly reliable for differential diagnosis. It may help clinicians to decide when to opt for testis-sparing surgery.
