US in the sagittal and transverse planes shows the double layer of membranes around the testis consisting of the tunica albuginea and the tunica vaginalis Ashley Davidoff MD 133677cUS in the sagittal plane of the right testis above and normal left testis below shows enlargement of the right epididymis, and testis, with thickening of the tunica albuginea, complex hydrocele with septations and thickening of the skin. The thickening of the tunica albuginea in this instance was a clue to the abnormality of the testis which was shown by Doppler to be infarcted Ashley Davidoff MD 133227cUS of the left testis in the sagittal plane shows a 2.3cms heterogeneous mass with impingement of the tunica albuginea anteriorly Ashley Davidoff MD 133668US of the left testis in the transverse plane shows a 2.3cms heterogeneous mass with impingement of the tunica albuginea anteriorly Ashley Davidoff MD 133669
Seminoma
28-year-old male presents with a right testicular pain.
US in the transverse and sagittal planes through the right testicle shows multicentric hypoechoic nodules some of which are hyper vascular. One of neoplastic nodules appears to extend into the region of the head of the epididymis and insertion of the cord.
US in the transverse plane through the right testicle shows a hypoechoic nodule some of which appears to extend into the region of the head of the epididymis and insertion of the cord near the hilum. Pathology: Germ cell tumor with findings classical of seminoma. There was involvement of the rete testis, and hilar stromal tissue. The tumor penetrated the tunica albuginea. Multifocal angiolymphatic invasion TNM pT2 Nx Mx Ashley Davidoff MD 133688Doppler US in the transverse and sagittal planes through the right testicle shows multicentric hypoechoic nodules some of which are hyper vascular. One of neoplastic nodules appears to extend into the region of the head of the epididymis and insertion of the cord. Pathology: Germ cell tumor with findings classical of seminoma. There was involvement of the rete testis, and hilar stromal tissue. The tumor penetrated the tunica albuginea. Multifocal angiolymphatic invasion TNM pT2 Nx Mx Ashley Davidoff MD 133699
