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Angiosarcoma of the Seminal Vesicle: Early Detection Using Transrectal Ultrasound‐Guided Biopsy
Author(s) -
Panageas Ellen,
Kuligowska Ewa,
Dunlop Richard,
Babayan Richard
Publication year - 1990
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1990.18.8.666
Subject(s) - medicine , seminal vesicle , magnetic resonance imaging , malignancy , radiology , ultrasound , prostate , biopsy , ejaculatory duct , pathology , cancer
Imaging of the seminal vesicles was difficult before the development of transrectal ultrasound (TRUS) and magnetic resonance imaging (MRI). The traditional modalities that were used for imaging the seminal vesicles included excretory urograms, cystograms, barium enemas, computed tomography (CT), and seminal vasovesiculography. 1 The information provided by these tests was indirect and nonspecific, and often required invasive procedures. Diagnosis could only be made when disease of the seminal vesicles was far advanced and adjacent structures were involved. The recent advent of TRUS and MRI provides direct visualization of the seminal vesicles. By examining the seminal vesicles in multiple planes using these modalities, it is now possible to identify abnormalities confined to the gland and to accurately predict the extent of disease. 2–3 We describe a case of primary seminal vesicle malignancy that was detected and diagnosed by TRUSand TRUS‐guided biopsy at a time when an extensive traditional workup including a pelvic CT scan was negative. An MRI was also obtained, which confirmed the asymmetry of the seminal vesicles without further characterization of the lesion. This is the first reported case of malignancy of the seminal vesicle visualized and diagnosed by TRUS‐guided biopsy.