What is an extra testicular lesion?
The commonest lesion in the extra-testicular position in the scrotum is the epididymal cyst or spermatocele, but a solid lesion is more problematic; extra-testicular primary solid neoplasms arise from the epididymis, spermatic cord and para-testicular connective tissues.
What is Extratesticular?
Abstract. The extratesticular scrotal contents consist of the epididymis, spermatic cord, and fascia derived from the embryologic descent of the testis through the abdominal wall. As opposed to intratesticular masses, most extratesticular masses are benign.
What is the most common malignant Extratesticular neoplasm in adults?
Malignant Tumors. The majority of malignant tumors in the nonepididymal extratesticular soft tissues are sarcomas that arise from the spermatic cord. The most common scrotal sarcomas are rhabomyosarcoma, liposarcoma, leiomyosarcoma, and MFH , all of which are rare clinical entities.
Do testicular masses go away?
Most lumps are soft and fluid-filled and may make your scrotum look a little swollen; these are usually harmless and often go away without treatment. Some lumps are solid and may feel attached to one of your testicles.
Do epididymal cysts get bigger?
Usually, epididymal cysts and spermatoceles will either get smaller as the body reabsorbs fluid from the cyst or they will stay the same size. Sometimes, though, an epididymal cyst may continue to grow larger or cause pain, swelling, or embarrassment to the patient.
What is Scrotolith?
Scrotolith. Scrotoliths, scrotal pearls or scrotal calculi are mobile calcifications in the scrotum and represent calcified loose bodies that result from torsion of the appendix epididymis/appendix testis or reactive fibrous proliferation during intrascrotal inflammation [33,43].
What is adenomatoid tumor?
An adenomatoid tumor is a benign neoplasm of mesothelial origin that can be found in both female and male genital tracts, but it is more commonly found in the male adnexa, where it is the most common benign neoplasm.
What does a Spermatocele look like on ultrasound?
Ultrasound. At sonographic examination, spermatoceles are well-defined epididymal hypoechoic lesions usually measuring 1-2 cm and demonstrating posterior acoustic enhancement. They are usually irregular, with fine low-level internal echoes and sometimes septations.
What would a testicular mass be?
A scrotal mass is an abnormal bulge or lump inside the scrotum. A scrotal mass can be a swollen testicle or it can contain fluid or other tissue. It’s possible that the mass could be cancerous, but there are also a number of noncancerous causes of a mass in the scrotum.
Is it normal to have lumps in your balls?
Most lumps in the testicles are harmless, but some can be a sign of a more serious medical condition. Regular self-exams can help spot the early signs of testicular cancer. The majority of lumps found in the testicle are not caused by cancer.