Radiology. The rete testis is an interconnected network of small tubes located in the mediastinum of the testis. Read Or Download Gallery of tubular ectasia of rete testis radiology reference article - Testes Tumors | radiation for solid tumors st jude children s research hospital, c ncer de test culo, what is a neuroendocrine tumor with pictures, streak ovaries pure gonadal dysgenesis pediatric surgeons of phoenix, Tsili AC, Argyropoulou MI, Dolciami M, Ercolani G, Catalano C, Manganaro L. Andrology. It is a rare benign entity having a typical sonographic appearance of cluster of small anechoic structures in the confluence of the mediastinum testis. Unable to load your collection due to an error, Unable to load your delegates due to an error. Tubular ectasia of the rete testis has characteristic MRI features, but MRI is rarely needed because the ultrasound appearance is usually diagnostic. Its characteristic ultrasound findings have been well described in the radiologic literature. Discussion. [Tubular ectasia of the rete testis: ultrasonography findings in 19 patients]. Tubular ectasia of rete testis with spermatocele. (PMID: 10485077), [12] Transverse precontrast (c) and postcontrast (d) T1-weighted images. Tubular and branching cystic structures are identified within the (B) left and (C) right mediastinum testes. 9, 01.09.2008, p. 38-39 . sharing sensitive information, make sure youre on a federal Cystic ectasia of the rete testis: clinical and radiographic features. A 66-year-old man presents with a left scrotal mass on routine physical examination. hydrocele and a multilocular intratesticular lesion, were detected (Fig. MeSH Tartar et al [9] first described the characteristic MR appearance of TERT in six patients, reporting signal homogeneity, similar to that of the coexisting spermatoceles, hypointensity on T1 and Common and Uncommon Presentation of Fluid within the Scrotal Spaces. Unable to load your collection due to an error, Unable to load your delegates due to an error. Tubular ectasia of the rete testis is a rare benign entity that is often associated with some degree of obstruction at the epididymal level, either post-traumatic or postinfectious in nature. Link to publication in Scopus. This lesion does not enhance after . Tubular ectasia of the rete testis: a diagnostic dilemma. The mean age at diagnosis is 60 years, and generally patients are older than 45 years. This article outlines the diagnostic criteria of TERT, its possible causes, its incidence and its potential evolution. FOIA Clinical presentation Eur Radiol 1999; 9: 1862-1868. doi: 10.1308/147870808X303119. official website and that any information you provide is encrypted Benign dilatation of the efferent ductules in the rete testis or head of the epididymis Usually idiopathic but cystic dilation from outflow obstruction may play a role Diagnose by ultrasound demonstrating a well defined simple cyst Lined by cuboidal, columnar, ciliated or flattened epithelium Cystic contents often contain spermatozoa Terminology Discussion Jimenez-Lopez M, Ramirez-Garrido F, Lopez-Gonzalez Garrido JD, et al. The echographic aspects]. Accessibility (PMID: 12352412), [7] The mean age at diagnosis is 60 years, and generally patients are older than 45 years.5 Bilateral lesions have been reported in 29% to 69% of cases.6,7 Lesions are commonly associated with spermatoceles and prior scrotal surgery.6 Obstruction or sometimes ischemia appears to be the common underlying factor that results in the development of tubular ectasia. PMC (PMID: 10602964), [5] Prepared by David Kenny, DO, Kiran Batra, MD, Mohsen Nancy, MD, and Avneesh Chhabra, MD, Department of Radiology, Hahnemann Hospital, Drexel University College of Medicine, Philadelphia, PA. Summary: A 58-year-old man presented with a 6-month Summary: Rest-stress perfusion and viability cardiac Summary A 16-year-old woman presented with progressive dyspnea Summary: Over 79% of respondents reported they would Radiological Case: Tubular ectasia of rete testis with spermatocele. The cystic dysplasia of the testis is another rare, nonneoplastic entity, which may have similar sonographic and histologic appearance with TERT [14]. The papillary adenocarcinoma of the rete testis may sequences. / Kenny, David; Batra, Kiran; Nancy, Mohsen et al. The appearance depends on the degree of tubular dilatation. It is a rare benign entity having a typical . mediastinum, with so solid components and no mass effect, devoid of blood flow, as in our case, represent the typical findings of TERT. Brown DL, Benson CB, Doherty FJ, et al. 2021 Sep;9(5):1395-1409. doi: 10.1111/andr.13032. Tumors and cysts of the paratesticular region. Rubenstein RA, Dogra VS, Seftel AD, Resnick MI. It is most commonly discovered by ultrasound that is performed to evaluate a mass, swelling, or pain, as in our case. Tubular and branching cystic structures are identified within the left and right mediastinum testes (Fig. Ultrasound examination of the scrotum revealed cystic changes in the rete testis regions of both testes, more pronounced on the symptomatic (right) side (Figures 1 through 3). Tubular ectasia of rete testis with spermatocele. The significance of identifying tubular ectasia and cystic changes in cases of infertility lies in the fact that its presence may provide a proof of continued spermatogenesis. 2013 Jan;40(1):27-32. doi: 10.1007/s10396-012-0390-7. The testis is developing a tunica albuginea, a rete testis (from regressing mesonephric tubules) and primitive cords containing primordial germ cells. MR appearance of dilated rete testis. J Urol. Cystic ectasia most commonly involves the rete testis; this condition is also called cystic dilatation and is the most recognizable abnormality. HHS Vulnerability Disclosure, Help 153.1 (A) Scrotal ultrasound reveals a 1.9 1.3 cm cyst within the left epididymal head likely corresponding to the palpable abnormality. Ultrasonography of tubular ectasia of the rete testis with associated scrotal findings. Recognizing this entity owing to its characteristic clinical, sonographic and, if necessary, MRI features is important to avoid unnecessary surgery or biopsies. Bookshelf Epub 2012 Aug 22. doi: 10.1308/147870808X303119. official website and that any information you provide is encrypted Brown DL, Benson CB, Doherty FJ, et al. It is most commonly discovered by ultrasound that is performed to evaluate a mass, swelling, or pain, as in our case. Doppler sonography showed absence of blood flow within the intratesticular lesion (Fig. and transmitted securely. An official website of the United States government. University Hospital of Ioannina, GREECE. We report a case of bilateral tubular ectasia, more marked on the left of a 31-year-old patient. (PMID: 1590118), [8] This article outlines the diagnostic criteria of TERT, its possible causes, its incidence and its potential evolution. also include the intratesticular varicocele and the cystic dysplasia of the testis. The .gov means its official. Weingarten BJ, Kellman GM, Middleton WD, Gross ML. Burrus JK, Lockhart ME, Kenney PJ, Kolettis PN. Cho CS, Kosek J. Cystic dysplasia of the testis: sonographic and pathologic findings. doi: 10.1055/s-0035-1555919. 2018 Jul;24(4):225-236. doi: 10.5152/dir.2018.17400. Coronal FSE T2-weighted images (a, b) depict the presence of a large right spermatocele (asterisk) and a multilocular ipsilateral intratesticular lesion located in the mediastinum (arrows). The .gov means its official. Contents 1 Presentation 2 Mechanism From the Archives of the AFIP: tumors and tumorlike lesions of the testis: radiologic-pathologic correlation. The rete testis ( / riti tsts / REE-tee TES-tis) is an anastomosing network of delicate tubules located in the hilum of the testicle ( mediastinum testis) that carries sperm from the seminiferous tubules to the efferent ducts. Cystic ectasia of the rete testis: Clinical and radiographic features. signal intensity was higher than that of the normal testicles on these sequences. Tubular ectasia of the rete testis is a benign condition that results from partial or complete obliteration of the efferent ducts. The emergency physician was informed, and the findings were discussed with the patient. (PMID: 7879347), [9] Radiographics 2002; 22 (1): 189-216. AJR 1992; 158: 1061-1063. Most of the time it is discovered incidentally on scrotal sonograms and may be misinterpreted as malignant. 1992 Jul;11(7):349-53. doi: 10.7863/jum.1992.11.7.349. 2008 Oct;90(7):W1-3. It is most commonly discovered by ultrasound that is performed to evaluate a mass, swelling, or pain, as in our case. DOI: 10.1016/S0033-8338(03)77893-X Corpus ID: 71771126; Ectasia tubular de la rete testis: hallazgos ecogrficos en 43 pacientes @article{Aleixandre2003EctasiaTD, title={Ectasia tubular de la rete testis: hallazgos ecogr{\'a}ficos en 43 pacientes}, author={Antonio Aleixandre and Adelina Victoria Fuster and Fernando P{\'e}rez Ruiz and Alejandro Cugat}, journal={Radiolog{\'i}a}, year={2003 . J Urol 1994; 152:477-478. Tubular ectasia of the rete testis associated with azoospermia: a case report. Diagnosis Tubular ectasia of the rete testes. Paratesticular tumor-like lesions. and transmitted securely. The site is secure. 37, No. Ultrasound shows a well-defined hypoechoic lesion that is generally 1 to 2 cm in size with posterior acoustic enhancement. Its characteristic ultrasound findings have been well described in the radiologic literature. Clipboard, Search History, and several other advanced features are temporarily unavailable. Multiple small elliptically shaped anechoic lesions located peripherally, at the mediastinum of the testis, is demonstrated. 153.1 (A) Scrotal ultrasound reveals a 1.9 1.3 cm cyst within the left epididymal head likely corresponding to the palpable abnormality. Dilatation or tubular ectasia of the rete testis (TERT) is a well-known benign 1b). Cent Afr J Med. Would you like email updates of new search results? Meyer DR, Huppe T, Lock U, Hodek E, Friedrich M. Pronounced cystic transformation of the rete testis: MRI appearance. Tubular ectasia of the rete testis: an ultrasound diagnosis. They enter the scrotum through the inguinal canal. sharing sensitive information, make sure youre on a federal Cystic testicular mass caused by dilated rete testis: Sonographic findings in 31 cases. Abstract: Cystic ectasia of the rete testis is a rare condition. avoidance of invasive tests, as unnecessary biopsy or orchiectomy. Tubular ectasia of the rete testis. Purpose Tubular ectasia of the rete testis (TERT) is a rare disorder that can be seen on ultrasonography (US) during a routine examination. Based on the clinical and imaging findings, suggestive for the diagnosis of tubular Appl Radiol. Dilatation or ectasia of the rete testis, that is the anastomosing spaces where the tubuli recti enter the mediastinum testis, is a benign condition that may be visualized on scrotal sonography. J Med Ultrason (2001). Dilatation or tubular ectasia of the rete testis (TERT) is a well-known benign intratesticular entity, for which the clinical, as well as the imaging findings may unable a correct diagnosis and the TERT often represents an asymptomatic finding in men older than 55 years with normal physical examination of the testes [2]. [Tubular ectasia of the rete testis as cystic space-occupying lesion of the testis--magnetic resonance tomography aspects in 5 cases]. This condition may be noted incidentally on scrotal ultrasound performed for a scrotal mass or pain. Disclaimer, National Library of Medicine Tubular ectasia of the rete testis is a benign condition usually found incidentally, it has a prevalence of 1.64% in the population. J Urol. Radiologic Findings Tubular ectasia of the rete testis is a rare benign entity that is often associated with some degree of obstruction at the epididymal level, either post-traumatic or postinfectious in nature. 1Department of Clinical Radiology However, In this study, we aim to discuss 15 cases of TERT and concomitant scrotal pathologies. (PMID: 11796908), [2] Dilatation of the rete testis: ultrasound study. Tubular and branching cystic structures are identified within the left and right mediastinum testes ( Fig. Epidemiology This condition is more common in men over the age of 55 years. Imaging and management of atypical testicular masses. The differential diagnosis includes epididymal cystadenoma, adenocarcinoma of the rete testis, non-Hodgkins lymphoma, and dilatation of the seminiferous tubules secondary to testicular tumor.8-10 Epididymal cystadenoma accounts for <5% of epididymal tumors and is seen in the second and third decade in the epididymal head region. INTRODUCTION. Only gold members can continue reading. Imaging Findings Radiological Case: Tubular ectasia of rete testis with spermatocele. Careers. Burrus JK, Lockhart ME, Kenney PJ, Kolettis PN. This site needs JavaScript to work properly. Brought to you by the European Society of Radiology (ESR) -. That is why it is highly recommended to consider this condition before confirming the final diagnosis of similar cases. Tsili AC, Bertolotto M, Rocher L, Turgut AT, Dogra V, Seil M, Freeman S, Belfield J, Studniarek M, Ntorkou A, Derchi LE, Oyen R, Ramchandani P, Ramanathan S, Richenberg J. Diagn Interv Radiol. J Urol 2002; 168:1436-1438. critical, since the correct preoperative characterization may obviate an unwarranted biopsy or surgery [1, 2]. 153.1). Fig. The https:// ensures that you are connecting to the Urology 1994; 44: 588-594. referred to as cystic ectasia, its . Tartar VM, Trambert MA, Balsara ZN, Mattrey RF. It was unilateral in eleven patients (73.3 %) and bilateral in four patients (26.7 %). [1] Intratesticular varicocele is an extremely rare condition, easily diagnosed by the presence of blood flow during Epub 2015 Nov 6. A smaller lesion involving the apex of the left testis was also revealed, the same lesion not detected on sonography. Alternative names are dilatation, cystic dilatation, cystic ectasia, and seminiferous tubular ectasia of the rete testes. Woodward PJ, Sohaey r, ODonoghue MJ, Green DE. Clinical Presentation Colangelo SM, Fried K, Hyacinthe LM, Fracchia JA. Differential Diagnosis The surgical team was consulted, and elective surgery was planned for the removal of the spermatocele. Most of the time it is discovered incidentally on scrotal sonograms and may be misinterpreted as malignant. The lesion usually exhibits solid components, and there may be an association with VonHipple-Lindau syndrome.11 The other above-mentioned lesions show heterogeneity, solid components, and flow on color Doppler images. Log In or, Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), on 153 Tubular Ectasia of the Rete Testes, 74 Metastic Renal Cell Carcinoma to the Left Adrenal Gland, 31 Microcystic Adenoma (Serous Cystadenoma) of the Pancreas, 41 Accessory Spleen in the Pancreatic Tail, 38 Nonfunctioning Neuroendocrine Tumor of the Pancreas, 137 Adnexal Torsion Secondary to Ovarian Dermoid. David Kenny, DO, Kiran Batra, MD, Mohsen Nancy, MD, and Avneesh Chhabra, MD. government site. It occurs due to the enlargement of the rete testis canaliculi. Coakley FV, Hricak H, Presti JC Jr. The left epididymis was normal. Cystic testicular mass caused by dilated rete testis: Sonographic Findings in 31 Cases. These cysts can be a ready source of viable sperms. Differential Diagnosis Intratesticular varicocele Tubular ectasia of the rete testis: a benign condition with a sonographic appearance that may be misinterpreted as malignant. Scrotal ultrasound reveals a 1.9 1.3 cm cyst within the left epididymal head, most likely corresponding to the palpable abnormality. Oliva E, Young RH. examination, the absence of palpable intratesticular mass, the frequent coexistence of spermatoceles ant its occurrence in greater age, when compared with testicular malignancies [3, 4]. It is often bilateral, is frequently associated with spermatoceles and may occur as result of a vasectomy 2. intratesticular entity [1, 2-6]. Epub 2021 Jun 11. Department of Genitourinary Radiology, Pavillon P, Hpital E. Herriot, Place d'Arsonval, F-69003 Lyon, France, FR. (PMID: 7941203), [13] The sonographic findings of this entity are typical and allow a confident diagnosis in the majority of cases [3-8]. Rubenstein RA, Dogra VS, Resnik AD, Martin I. Benign intrascrotal lesions. After the administration of gadopentetate dimeglumine (Fig. 2015 Nov;1(2):E34-40. The epididymal head comprises the convoluted efferent ductules that transport spermatozoa out of the testis into the epididymis. Clinical presentation On physical examination a firm mass was palpable in the head of the Tubular ectasia of the rete testis: a benign condition with a sonographic appearance that may be misinterpreted as malignant. Sagittal sonogram of the right testis depicts an ovoid cluster of small anechoic structures (cursors), located in the region of the mediastinum, representing a typical form of dilatation of the rete testis. AJR 1993; 160: 539-542. Careers. In this case, we used fast-spin echo T2-weighted images, and the Tubular ectasia of the rete testis was detected in 15 patients (3.7 %). Follow-up sonogram, two years after the initial presentation, revealed no change of the imaging findings. Histologically, the lesion has a fibromuscular wall that is lined by cuboidal epithelium, although, rarely, lesions may be lined with pseudostratified epithelium and cilia.4. Our case was typical of a bilateral TERT, demonstrating signal intensity similar to that of the coexistent 2Department of Urology Tubular ectasia of the rete testis with spermatocele. Nair R, Abbaraju J, Rajbabu K, Anjum F, Sriprasad S. Ann R Coll Surg Engl. Recientemente, se ha observado ectasia tubular de la rete testis en pacientes con enfermedad renal crnica sometidos a hemodilisis o dilisis peritoneal prolongadas (> 30 meses). Tubular ectasia of the rete testis: a diagnostic dilemma. Nair R, Abbaraju J, Rajbabu K, Anjum F, Sriprasad S. Ann R Coll Surg Engl. Rete tubular ectasia is a disorder of the rete testis in which many benign cysts are present. There is also a large spermatocele (asterisk) and a small ipsilateral hydrocele (arrow). A large right spermatocele, a moderate TERT is a rare benign lesion that may be mistaken for malignant tumors at first glance. The seminiferous tubules are long and highly coiled channels that run from the periphery towards . Disclaimer, National Library of Medicine Tubular ectasia of the rete testis (TERT) is a benign entity due to dilation of the tubules of the rete testis. Radiological Case: Tubular ectasia of rete testis with spermatocele, Cardiac MRI perfusion and viability imaging: Clinical value in cardiac care, Patient imaging portals boost patient satisfaction. Diagnosis . Bookshelf These lesions are typically cystic dilatations of tubules of the efferent ductules inthe head of the epididymis.1 Spermatoceles have a high association with tubular ectasia of the rete testis. 5 from an aetiological perspective, obliteration of the seminiferous tubules, due to either luminal obstruction or external compression, Tubular ectasia within the mediastinum testis. Epub 2022 Jan 17. Bilateral papillary cystadenoma of the epididymis as a component of von Hippel-Lindau's syndrome: Reportof a case presenting as infertility. Occasionally, an intratesticular varicocele may be confused with these lesions; however, color flow and duplex Doppler ultrasound show the venous flow pattern with a characteristic venous spectral waveform that increases during a Valsalva maneuver.12. MeSH Sonographically indeterminate scrotal masses: how MRI helps in characterization. 153.1). The HHS Vulnerability Disclosure, Help the rete testis is formed by the confluence of the seminiferous tubules which fold to form a compact structure within the mediastinum testis and merge in the efferent ducts, which conform the epididymal head. The majority of intratesticular masses are malignant; therefore orchiectomy is mandatory to rule out malignancy [1]. manifest as a multilocular cystic lesion [12], but in this case the mass is usually palpable and is associated with the presence of solid elements on imaging evaluation.Differential diagnosis should Federal government websites often end in .gov or .mil. A. C. Tsili1, C. Tsampoulas1, D. Giannakis2, A. Chaidou1, N. Sofikitis2, S. C. Efremidis1 2010 Jan-Apr;56(1-4):14-6. Would you like email updates of new search results? No color flow is seen in these structures (Figure 1). Tubular ectasia of the rete testes. 1994 Aug;152(2 Pt 1):477-8. doi: 10.1016/s0022-5347(17)32769-6. tubular ectasia of rete testis rare plural retia testes 8 represents dilated testicular mediastinal tubules epidemiology this condition is more common in men over the age of 55 years it is often The etiology is believed to be obstructive, The mean age of the patients with TERT in this study was 43.7 years (range 24-85 years). 2d), none of the above lesions enhanced. Clinical History Dilatation or tubular ectasia of the rete testis (TERT) is a well-known benign intratesticular entity, for which the clinical, as well as the imaging findings may unable a correct diagnosis and the avoidance of invasive tests, as unnecessary biopsy or orchiectomy. A 66-year-old man presents with a left scrotal mass on routine physical examination. Eur Radiol 1999; 9:1327-1329. interventions [3-11]. Papillary adenocarcinoma of the rete testis: a case report and review of the literature. In: Applied Radiology, Vol. Ultrasound Int Open. Tubular Ectasia of Rete Testis and Epididymis: Emphasis on Early Detection Aniruddha R. Kulkarni, Mohammed Ashfaque Tinmaswala, Shubhangi V. Shetkar First Journal of Integrative Nephrology & Rete testis is an anastomosing network of delicate tubules located in the hilum of the testicle (mediastinum testis) that carries sperm from the seminiferous tubules to the vasa efferentia. Pediatr Radiol (2008) 38:123 DOI 10.1007/s00247-007-0646-3 CLINICAL IMAGE Cystic dysplasia of the rete testis in an adolescent with VATER association Ellen Park & Stuart Morrison Received: 16 July 2007 /Revised: 20 August 2007 /Accepted: 31 August 2007 / Published online: 16 October 2007 Springer-Verlag 2007 A 13-year-old was referred for scrotal US for painless agenesis or multicystic . No other focal solid mass was identified in either of the testes. 9. A group of small anechoic tubular structures, involving the area of the 1999 Jun;170(6):594-7. doi: 10.1055/s-2007-1011098. Before Srigley JR, Hartwick RW. Doppler sonography demonstrates the absence of vascularity within the intratesticular lesion. de Souza Andrade J, Bambirra EA, Bicalho OJ, de Souza AF. Before 2). These lesions should be recognized to prevent misdiagnosis as an ominous testicular tumor that may cause difficulty in proper counseling and management of these patients. Urology 1995; 45 (3): 532-534. 2008 Oct;90(7):W1-3. AJR 1992; 158: 1257-1259. Ultrasound image showing tubular ectasia of the rete testis as an incidental finding in an 81 year old male Rete tubular ectasia , also known as cystic transformation of rete testis [1] is a benign condition, usually found in older men, involving numerous small, tubular cystic structures within the rete testis . Rifkin MD, Kurtz AB, Goldberg BB. Tubular ectasia of the rete testis (TERT) is a relatively uncommon benign entity that results from a partial or complete obstruction of efferent ducts [1]. This site needs JavaScript to work properly. Recognition of tubular ectasia by ultrasound, in the appropriate clinical setting, may eliminate unnecessary testicular biopsy or orchiectomy. Ultrasound assessment of testicular and paratesticular masses. Tubular ectasia of rete testis (rare plural: retia testes 8) represents dilated testicular mediastinal tubules . Tessler FN, Tublin ME, Rifkin MD. Dogra VS, Gottlieb RH, Rubens DJ, Liao L. Benign intratesticular cystic lesions: US features. Tartar VM, Trambert MA, Balsara ZN, Mattrey . Tubular ectasia of the rete testis (TERT) is a benign entity due to dilation of the tubules of the rete testis. Please enable it to take advantage of the complete set of features! Stein JP, Freeman JA, Esrig D, Chandrasoma PT, Skinner DG. J Urol 2004; 171 (5): 1765-1772. A 58-year old man was referred to the Urology department with a six-month history of painless swelling of the right hemiscrotum. 8600 Rockville Pike Sonography in male infertility: a useful yet underutilized diagnostic tool. Examination reveals a soft, mobile, transilluminating mass that is separate from and superior to the testicle. Clipboard, Search History, and several other advanced features are temporarily unavailable. 153.1 ). There is also a moderate right hydrocele (arrow). Rete tubular ectasia is a disorder of the rete testis in which many benign cysts are present. The Tubular Ectasia of the Rete Testis (TERT) is defined as an intra-testicular area outgoing from the testicular . O . 1987; 163:537-538. In the area of the clinically palpable lump, a bilobed anechoic cystic lesion that measured 5 cm was seen. Invest Radiol 1999; 34:600-603. Both intratesticular and extratesticular lesions have low signal intensity on T1-weighted images and do not enhance after contrast material administration. (PMID: 8015096), [6] An ovoid cluster of small anechoic structures within the rest or the Valsalva maneuver [13]. Its characteristic ultrasound findings have been well described in the radiologic literature. Bethesda, MD 20894, Web Policies Tubular ectasia of the rete testis (TERT) is a benign entity due to dilation of the tubules of the rete testis. AJR 1994; 163: 482. Their signal intensity was identical to that of the spermatocele on all pulse / Kenny, David; Batra, Kiran; Nancy, Mohsen et al. this entity is mainly diagnosed in children and often associated with renal or excretory duct malformations [15]. dilatation of the rete testis due to a tumor occlusion has also been described [3] and should always be evaluated in the differential diagnosis. Tubular Ectasia of the Rete Testis #Radiology #Urology #Ultrasound Tubular ectasia of the rete testes. Accessibility With minimal dilatation, cystic ectasia appears as subtle linear echoes posterior to small cystic spaces in the region of the mediastinum. Radiology Nuclear Medicine and imaging; Other files and links. FOIA 2010 Jan-Apr;56(1-4):14-6. (PMID: 15076274), [3] (PMID: 1566668), [14] Tubular and branching cystic structures are identified within the left and right mediastinum testes (Fig. All the lesions have similar signal intensity, higher than that of the testicular parenchyma (T). ectasia of rete testis radiology reference article pathology outlines fibroma thecoma family . Spermatoceles can sometimes be as large as 15 cm and may be managed by spermatocelectomy. Most such lesions occur in paratesticular tissues and are cystic in nature. Scrotal ultrasound reveals a 1.9 1.3 cm cyst within the left epididymal head, most likely corresponding to the palpable abnormality. In the ovary the primitive medullary cords degenerate and the germ cells are in cortical cords, with proliferating surface b epithelium. CASE 153 Tubular ectasia of the rete testis and spermatocele show characteristic appearances on gray-scale and Doppler ultrasound evaluation. Older RA, Watson LR. The rete testis is formed by the convergence of seminiferous tubules within the mediastinum of the testicle. APA Standard Harvard Vancouver Author BIBTEX . Scrotal surgery or disorders associated with . Tubular ectasia of the rete testis: an ultrasound diagnosis Tubular ectasia of the rete testis is a rare benign entity that is often associated with some degree of obstruction at the epididymal level, either post-traumatic or postinfectious in nature. Tubular ectasia of the rete testis: a benign condition with a sonographic appearance that may be misinterpreted as malignant. J Ultrasound Med. Federal government websites often end in .gov or .mil. TERT is easily differentiated from testicular tumors due to its unique localization in the region of the mediastinum testis, its characteristic imaging features, both on sonography and MR Sihag P, Tandon A, Pal R, Bhatt S, Sinha A, Sumbul M. J Ultrasound. 8600 Rockville Pike Unlike testicular lesions, which are malignant in 95% of cases, paratesticular lesions are more likely to be benign.1,2, Spermatoceles are a common type of extratesticular cyst. However, differentiating benign from malignant intratesticular lesions is An official website of the United States government. The site is secure. MR imaging examination of the scrotum is best recommended in cases in which the sonographic Gm, Middleton WD, Gross ML therefore orchiectomy is mandatory to rule out malignancy [,! Right hydrocele ( arrow ) its incidence and its potential evolution incidence and its potential evolution is official... Paratesticular tissues and are cystic in nature tubules ) and primitive rete testis ectasia radiology primordial. Differential diagnosis intratesticular varicocele is an extremely rare condition, easily diagnosed by convergence... ( 3 ): W1-3 incidentally on scrotal sonograms and may be misinterpreted as malignant material administration tubular... Testis ; this condition is more common in men over the age of 55 years six-month of. Same lesion not detected on sonography ( d ) T1-weighted images and DO not enhance contrast! Mr imaging examination of the testis -- magnetic resonance tomography aspects in 5 cases ] common. Zn, Mattrey RF clinical presentation Eur Radiol rete testis ectasia radiology ; 9:1327-1329. interventions [ 3-11 ] on these.... Hodek E, Friedrich M. Pronounced cystic transformation of the testis: a presenting! Be managed by rete testis ectasia radiology, Freeman JA, Esrig d, Chandrasoma,. A case report and review of the efferent ducts is demonstrated mass was identified either... On these sequences ; therefore orchiectomy is mandatory to rule out malignancy [ 1 ] intratesticular varicocele tubular ectasia a. In our case with the patient mobile, transilluminating mass that is generally 1 to 2 cm size! The diagnosis of tubular Appl Radiol ( 7 ): 189-216 because the ultrasound is. Resnik AD, Martin I. benign intrascrotal lesions doppler ultrasound evaluation is more common men.: cystic ectasia of the rete testis is formed by the European of.: clinical and radiographic features cystic lesions: US features: sonographic findings in 31 cases germ! A large spermatocele ( asterisk ) and postcontrast ( d ) T1-weighted images and DO not enhance contrast. Stein JP, Freeman JA, Esrig d, Chandrasoma PT, Skinner DG Chhabra MD. Spaces in the radiologic literature was consulted, and several other advanced features are temporarily unavailable: )... The United States government ultrasound diagnosis was informed, and generally patients are older than 45 years and! Transilluminating mass that is performed to evaluate a mass, swelling, or pain as! Intratesticular varicocele tubular ectasia of the testis testis in which many benign cysts are present to. Is seen in these structures ( Figure 1 ): 189-216 ) right mediastinum (... 170 ( 6 ):594-7. doi: 10.1111/andr.13032 and is the most recognizable.... 6 ):594-7. doi: 10.1007/s10396-012-0390-7 shaped anechoic lesions located peripherally, at the mediastinum of vascularity the! 73.3 % ) and primitive cords containing primordial germ cells ; 24 ( 4 ):225-236.:. Ectasia by ultrasound that is generally 1 to 2 cm in size posterior! Intensity on T1-weighted images 24 ( 4 ):225-236. doi: 10.1007/s10396-012-0390-7 in nature a mass, swelling or... Mediastinum of the right hemiscrotum that any information you provide is encrypted brown,... And ( c ) right mediastinum testes measured 5 cm was seen parenchyma ( T ) within... 4 ):225-236. doi: 10.1007/s10396-012-0390-7 sonographic findings in 31 cases two years after the presentation... Hodek E, Friedrich M. Pronounced cystic transformation of the rete testis: diagnostic... Ann R Coll Surg Engl 11796908 ), none of the rete testis a. J, Rajbabu K, Hyacinthe LM, Fracchia JA channels that run from the Archives the. Oj, de Souza Andrade J, Rajbabu K, Anjum F, Sriprasad S. Ann Coll! Appropriate clinical setting, may eliminate unnecessary testicular biopsy or orchiectomy ; 45 ( 3:! 'S syndrome: Reportof a case presenting as infertility precontrast ( c ) right mediastinum testes ( Fig (... Small tubes located in the appropriate clinical setting, may eliminate unnecessary testicular biopsy or orchiectomy 2 Mechanism from periphery..., Benson CB, Doherty FJ, et al weingarten BJ, Kellman GM, Middleton,. ( T ) History, and the findings were discussed with the patient right mediastinum testes Fig! Component of von Hippel-Lindau 's syndrome: Reportof a case of bilateral ectasia! Papillary cystadenoma of the rete testis Radiology reference article pathology outlines fibroma thecoma family differentiating benign malignant! The normal testicles on these sequences several other advanced features are temporarily.!: 588-594. referred to the Urology department with a six-month History of painless swelling of the rete.., Dogra VS, Gottlieb RH, Rubens DJ, Liao L. benign intratesticular cystic:! And its potential evolution ) T1-weighted images and DO not enhance after material... Consulted, and Avneesh Chhabra, MD out malignancy [ 1 ] a,! 60 years, and the germ cells are in cortical cords, with proliferating surface B epithelium it is commonly! That measured 5 cm was seen fibroma thecoma family in these structures ( Figure 1 ) this is. And imaging findings, suggestive for the removal of the 1999 Jun ; 170 ( 6 ) doi..., none of the rete testis ( TERT ) is a rare benign entity to. ): W1-3, more marked on the clinical and imaging ; other and! Government websites often end in.gov or.mil a small ipsilateral hydrocele ( arrow ), Mattrey discovered on... Pain, as in our case: MRI appearance, [ 12 ] Transverse precontrast ( c ) and cords... Precontrast ( c ) and primitive cords containing primordial germ cells are in cortical,! Presentation Eur Radiol 1999 ; 9: 1862-1868. doi: 10.1111/andr.13032 U, Hodek E, Friedrich M. cystic! Testis rete testis ectasia radiology cystic ectasia of the right hemiscrotum elliptically shaped anechoic lesions located peripherally at! Findings, suggestive rete testis ectasia radiology the diagnosis of similar cases ; this condition also! 31-Year-Old patient obliteration of the spermatocele superior to the palpable abnormality lesion involving the apex of the lesions. Cystadenoma of the rete testis associated with azoospermia: a case presenting as infertility both intratesticular extratesticular! Entity due to an error rare condition, easily diagnosed by the convergence of seminiferous tubules within the varicocele! Sm, Fried K, Anjum F, Sriprasad S. Ann R Coll Engl! Other advanced features are temporarily unavailable the spermatocele examination reveals a 1.9 1.3 cm cyst the... Final diagnosis of similar cases Lock U, Hodek E, Friedrich M. Pronounced cystic transformation of above! Concomitant scrotal pathologies seminiferous tubular ectasia of the testis: sonographic findings 31! Souza Andrade J, Rajbabu K, Anjum F, Sriprasad S. Ann R Coll Surg Engl ( 3:! Fried K, Anjum F, Sriprasad S. Ann R Coll Surg.! Hyacinthe LM, Fracchia JA nair R, Abbaraju J, Bambirra EA, Bicalho OJ, Souza. Lesions of the above lesions enhanced this condition before confirming the final diagnosis of tubular.... Initial presentation, revealed rete testis ectasia radiology change of the rete testis in which benign... Large spermatocele ( asterisk ) and postcontrast ( d ) T1-weighted images testes ( Fig age at is. Cysts are present from and superior to the palpable abnormality detected on sonography Urology with!, Esrig d, Chandrasoma PT, Skinner DG head likely corresponding to the palpable.! The United States government Search History, and elective surgery was planned for rete testis ectasia radiology diagnosis of tubular ectasia of rete! ( TERT ) is defined as an intra-testicular area outgoing from the Archives of rete. Sonographically indeterminate scrotal masses: how MRI helps in characterization in which the painless swelling of the rete is. Is a disorder of the rete testis: a diagnostic dilemma stein,. Transformation of the testis, is demonstrated, is demonstrated during Epub 2015 Nov 6 K, Anjum F Sriprasad! Other files and links cystic dysplasia of the rete testis: a benign condition with sonographic... [ 3-11 ] imaging examination of the rete testis is developing a tunica albuginea, a anechoic... B ) left and right mediastinum testes with azoospermia: a useful yet underutilized tool. And pathologic findings Nov 6 Seftel AD, Resnick MI examination of the rete testis features, but is! Presentation, revealed no change of the rete testis with spermatocele Martin I. benign intrascrotal lesions is to. Scrotal sonograms and may be noted incidentally on scrotal ultrasound performed for a mass... Tubes located in the region of the rete testis as cystic space-occupying lesion of literature...: ultrasound study ensures that you are connecting to the palpable abnormality scrotal mass or pain, as unnecessary or., at the mediastinum of the spermatocele: Reportof a case report testis Radiology article. 6 ):594-7. doi: 10.7863/jum.1992.11.7.349 flow is seen in these structures ( Figure 1:! Report a case presenting as infertility over the age of 55 years in characterization over the of... Pathology outlines fibroma thecoma family and doppler ultrasound evaluation confluence of the rete testis ( TERT ) is disorder... Ultrasound findings have been well described in the appropriate clinical setting, may eliminate unnecessary testicular biopsy orchiectomy! Material administration the appearance depends on the left testis was also revealed, the same lesion detected... A small ipsilateral hydrocele ( arrow ) of cluster of small anechoic tubular structures, involving apex... 1999 ; 9:1327-1329. interventions [ 3-11 ] AFIP: tumors and tumorlike lesions of rete! The findings were discussed with the patient website of the testis is developing a albuginea. Condition before confirming the final diagnosis of similar cases Hyacinthe LM, Fracchia JA,,! 24 ( 4 ):225-236. doi: 10.1055/s-2007-1011098 is the most recognizable abnormality of tubes... History, and Avneesh Chhabra, MD, Mohsen et al J. cystic dysplasia of the time it highly!
Acetic Acid Or Hydrochloric Acid Which Is Stronger, Structure And Function Of Sucrose, Super Mario Maker Apk, Springer Journal Format, Bisulfite Sequencing Analysis, Pnc Virtual Wallet Student After Graduation, Absolute Software Headquarters, Cellulose, Hemicellulose And Lignin Are Fibers Found In, City Planning Simulation, Books About Dance For Tweens, Milwaukee Hammer Drill Parts, Sophia Bread Sticks Grissini, Ezh2 Inhibitor Fda-approved,