Management of ultrasonically detected nonpalpable testis masses

Doug Corrie, Edward J. Mueller, Ian M. Thompson

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

As testicular ultrasound has evolved, nonpalpable masses have been detected for which an evaluation and treatment protocol has not been established. Our experience with nonpalpable testis masses detected only by ultrasound in 5 patients is presented, with all patients found to have nonmalignant lesions. We recommend that such cases with negative serum tumor markers and normal chest radiographs be followed with serial ultrasounds. Benign masses will resolve completely, while stable or enlarging masses can be locally excised and.inguinal orchiectomy completed only if cancer is found by frozen section. A modified staging system to follow these patients is proposed to determine these patients' prognoses: Stage Ia for inguinally removed nonpalpable cancers, Stage Ib for excised nonpalpable cancers without orchiectomy (false-negative frozen section), and Stage le for inguinally removed palpable cancers.

Original languageEnglish (US)
Pages (from-to)429-431
Number of pages3
JournalUrology
Volume38
Issue number5
DOIs
StatePublished - Nov 1991

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ASJC Scopus subject areas

  • Urology

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