Seminoma differential diagnosis: Difference between revisions

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*Lymphoblastic leukemia
*Lymphoblastic leukemia
*[[Non-Hodgkin's lymphoma]]
*[[Non-Hodgkin's lymphoma]]
*[[Metastases]]|E04=Testicular adrenal rests}}
*[[Metastases]]|E04=Intra testicular adrenal rests}}
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Revision as of 16:55, 25 February 2016

Seminoma Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]

Overview

Differentiating Seminoma from other Diseases

The most common presentation of testicular seminoma is a painless testicular mass.[1] The main differential for testicular mass in young adults is non-seminomatous germ cell tumor (NGCT) which usually appear more heterogenous, often with cysts and calcification.[2] Lymphadenopathy of non-seminomatous germ cell tumor may enhance more heterogenously. Testicular lymphoma is the main differential diagnosis to consider when para-aortic lymphadenopathy is the presenting finding or in the setting of bilateral testicular lesions.[2]

Testicular seminoma must be differentiated from:[3][4]

 
 
 
 
 
 
 
 
 
 
 
 
Differential diagnosis of testicular seminoma
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Unilateral testicular mass
 
 
 
 
 
 
 
 
 
Bilateral testicular mass
 
 
Neoplastic
 
 
 
 
 
 
Non neoplastic
 
Neoplastic
 
 
 
 
 
 
Non neoplastic
 
 
 
 
 
 
 
 
 
 
 
 
Non seminomatous germ cell tumor
  • Testicular teratoma
  • Testicular epidermoid
  • Choriocarcinoma
  • Embryonal cell carcinoma
  • Yolk sac tumor
  • Mixed germ cell tumor

Sex cord/stromal tumors

Metastasis to testis
 
 
 
 
 

 

  • Lymphoblastic leukemia
  • Non-Hodgkin's lymphoma
  • Metastases
  •  
     
     
     
     
    Intra testicular adrenal rests
     

    References

    1. Clinical presentation of testicular seminoma. Dr Marcin Czarniecki and Dr Andrew Dixon et al. Radiopaedia 2016. http://radiopaedia.org/articles/testicular-seminoma-1. Accessed on February 25, 2016
    2. 2.0 2.1 Differential diagnosis of testicular seminoma. Dr Marcin Czarniecki and Dr Andrew Dixon et al. Radiopaedia 2016. http://radiopaedia.org/articles/testicular-seminoma-1. Accessed on February 25, 2016
    3. Unilateral testicular lesions. Dr Yuranga Weerakkody and Dr Vinod G Maller et al. Radiopaedia 2016. http://radiopaedia.org/articles/unilateral-testicular-lesions. Accessed on February 25, 2016
    4. Bilateral testicular lesions. Dr Matt A. Morgan and Dr Vinod G Maller et al. Radiopaedia 2016. http://radiopaedia.org/articles/bilateral-testicular-lesions. Accessed on February 25, 2016

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