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Role of contrast‐enhanced ultrasound with Sonazoid in management of small testicular Leydig cell tumours: A case report with literature review
Author(s) -
Di Min,
Qin Junchang
Publication year - 2021
Publication title -
andrologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.633
H-Index - 59
eISSN - 1439-0272
pISSN - 0303-4569
DOI - 10.1111/and.14078
Subject(s) - leydig cell , medicine , lesion , ultrasound , leydig cell tumor , pathology , radiology , hormone , luteinizing hormone
Small testicular solid lesions are discovered accidentally due to the extensive use of ultrasound in urology and andrology. Early differentiation between benign and malignant testicular neoplasms is crucial for the determination of treatment options, especially for sub‐centimetre lesions. We report a case of a male patient with an incidental discovery of a small testicular lesion on ultrasonography with the chief complaint of left testicular discomfort. The blood‐flow distribution and microbubble dynamics in the lesion were evaluated through contrast‐enhanced ultrasound using Sonazoid intravenous bolus injection, the rapid and intense enhancement pattern tended to be testicular Leydig cell tumour. Through testicular‐sparing surgery, the lesion was excised, and benign testicular Leydig cell tumour was confirmed by post‐operative pathology and immunohistochemical pathology. No sign of recurrence or metastasis was detected during follow‐up.