Imaging modalities for an uncommon inguinal scrotal pathology

A case report and literature review

Research output: Contribution to journalReview article

Abstract

Inguinal scrotal swelling is a common presentation to surgical clinic with various differential diagnoses. In most circumstances, a good clinical assessment is sufficient to identify the diagnosis. Imaging is necessary when diagnostic difficulty was encountered. The choice of imaging study could affect the management and outcome. A 60-year-old male presented with an enlarging right inguinal scrotal swelling for 5 years. Clinical examination showed a swelling extended from the right inguinal region down to the right scrotum, firm, not reducible, and not separable from the right testis. Differential diagnoses range from the malignant testicular tumor, irreducible inguinal hernia to the soft-tissue tumor. Ultrasonography and computed tomography scan were unable to conclude the origin of the tumor and involvement of the right testis. Inguinal exploration with potential radical orchiectomy was planned and caused much distress to the patient, resulted in delay in surgery. Intraoperatively, the mass was separated from the testis and spermatic cord, and thus, excision biopsy was performed sparing the testis and spermatic cord. Histopathological examination showed cellular angiofibroma. The right choice of imaging modality is important to provide a precise diagnosis and better treatment plan. This could avoid the unnecessary distress to the patient for potential organ lost. A review through the literature showed the ability of magnetic resonance imaging to better delineate the anatomy of inguinal scrotal soft-tissue mass and thus should have been the imaging modality of choice.

Original languageEnglish
Pages (from-to)387-389
Number of pages3
JournalUrology Annals
Volume9
Issue number4
DOIs
Publication statusPublished - 1 Oct 2017
Externally publishedYes

Fingerprint

Groin
Testis
Pathology
Spermatic Cord
Differential Diagnosis
Angiofibroma
Scrotum
Orchiectomy
Inguinal Hernia
Testicular Neoplasms
Ultrasonography
Neoplasms
Anatomy
Tomography
Magnetic Resonance Imaging
Biopsy

Keywords

  • Cellular angiofibroma
  • inguinal scrotal mass
  • magnetic resonance imaging

ASJC Scopus subject areas

  • Urology

Cite this

Imaging modalities for an uncommon inguinal scrotal pathology : A case report and literature review. / Chun, Koo Hao; Fam, Xeng Inn; Erica Yee Hing, Wong; Goh, Eng Hong.

In: Urology Annals, Vol. 9, No. 4, 01.10.2017, p. 387-389.

Research output: Contribution to journalReview article

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