Testicular tumors in children often pose diagnostic challenges. There is a bimodal age distribution and the pathology encountered is age-related. The purpose of this exhibit is to familiarize pediatric radiologists with the types of testicular tumors, the different incidence of malignant tumors among age groups, as well as benign lesions with specific characteristics on ultrasound that do not require surgery. In addition, we will discuss special situations related to specific syndromes such as Peutz-Jeghers and androgen insensitivity syndromes. We will discuss the role of imaging in guiding patient management. 1. Overview of pediatric testicular tumor types by age a. Early childhood, pre-pubertal, pubertal b. Incidence of malignant tumors in each age group 2. Imaging and lab workup of testicular tumors a. US Imaging characteristics of various tumors b. Potential role for contrast enhanced US c. Lab workups d. Indications for abdominal and pelvic CT scans e. Follow up after tumor resection 3. Lesions with specific US characteristics that do not require surgery a. Congenital Adrenal Rests b. Rete testis c. Intratesticular varicose veins 4. Management options a. Radical orchiectomy b. Testicular sparing/Enucleation c. Follow-up 5. Special situations a. Syndromes b. Microlithiasis Read More

Meeting name: SPR 2022 Annual Meeting & Postgraduate Course , 2022

Authors: Chen Paula, Marine Megan, Misseri Rosalia, Kaefer Martin, Karmazyn Boaz

Keywords: Testicular tumors, Ultrasound