Page 32 - SONO 260 Chapter 13 The Male Pelvis
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PATHOLOGY OF THE SCROTUM INTRATESTICULAR CYSTS AND TESTICULAR MICROCALCIFICATIONS
• MULTIPLE, SMALL INTRATESTICULAR CYSTS ARE OFTEN SEEN ALONG THE MEDIASTINUM TESTIS.
• THESE CYSTS ARE TYPICALLY SMALL AND CLINICALLY INSIGNIFICANT.
• THEY ARE THOUGHT TO REPRESENT CYSTIC DILATION OF THE RETE TESTIS.
• EPIDERMOID CYSTS MAY BE NOTED WITHIN THE TESTICLE AS WELL.
• THEY MOST OFTEN APPEAR AS A ROUND OR OVAL MASS WITH ECHOGENIC
WALLS THAT MAY SHADOW.
• TESTICULAR MICROLITHIASIS WILL APPEAR AS MULTIPLE ECHOGENIC FOCI WITH NO ACOUSTIC SHADOWING WITHIN THE TESTIS .
• THESE TINY CALCIFICATIONS HAVE BEEN ASSOCIATED WITH MALIGNANCIES, INFERTILITY, KLINEFELTER SYNDROME, AND CRYPTORCHIDISM.
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