Adenomatoid tumor of the tunica vaginalis testis - A special maneuver in diagnosis by ultrasonography

Abstract

Scrotal neoplasms can be divided into those that are intratesticular and extratesticular in origin. Intratesticular neoplasms are more prevalent than extratesticular neoplasms. Ultrasonography is the method of choice for imaging scrotal pathologic entities. However, detection and differentiation of an extratesticular neoplasm are more sophisticated than for intratesticular neoplasms. It is also not always possible to differentiate an extratesticular mass originating from the paratesticular tissues from an intratesticular mass. If the lesion is confined to the epididymis, the differentiation can easily be made.(1) However, if the lesion is originating from the tunics of the testis, the differentiation can be troublesome.