Background: Torsion of an intraabdominal testicular tumor is a rare event. We report a new case and review the literature.
Methods: A review of the literature was carried out in order to identify reported cases of an intraabdominal testicular tumor undergoing torsion of its vascular pedicle.
Purpose: There is controversy concerning the implications of impalpable testicular masses. We examine the sonographic findings and pathology of such tumors.
Materials And Methods: Between 1985 and 1994, 3,019 scrotal ultrasound studies were performed for various indications and 15 impalpable masses were discovered.
High inguinal orchiectomy is the standard initial treatment for suspected testicular carcinoma. Nonstandard surgical approaches (scrotal violations), including scrotal orchiectomy, open testicular biopsy and fine needle aspiration, have historically been condemned as significantly compromising patient prognosis. Patients with scrotal violation are often subjected to potentially morbid or disfiguring local therapies.
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