Seminoma differential diagnosis: Difference between revisions
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{{familytree |boxstyle=background: #DCDCDC;| | | | | | | B01 | | | | | | | | | | B02 |B01='''Unilateral testicular mass'''|B02='''Bilateral testicular mass'''}} | {{familytree |boxstyle=background: #DCDCDC;| | | | | | | B01 | | | | | | | | | | B02 |B01='''Unilateral testicular mass'''|B02='''Bilateral testicular mass'''}} | ||
{{familytree |boxstyle=background: #DCDCDC;| | | F01 |-|-|^|-|-| F02 | | F03 |-|-|^|-|-| F04 |F01= | {{familytree |boxstyle=background: #DCDCDC;| | | F01 |-|-|^|-|-| F02 | | F03 |-|-|^|-|-| F04 |F01='''Neoplastic'''|F02='''Non neoplastic'''|F03='''Neoplastic'''|F04='''Non neoplastic'''}} | ||
{{familytree |boxstyle=background: #DCDCDC;| | | E01 | | | | | | E02 | | E03 | | | | | | E04 | |E01='''Non seminomatous germ cell tumor'''<br> | {{familytree |boxstyle=background: #DCDCDC;| | | E01 | | | | | | E02 | | E03 | | | | | | E04 | |E01='''Non seminomatous germ cell tumor'''<br> | ||
❑[[teratoma|Testicular teratoma]] | |||
❑Testicular epidermoid | |||
❑[[Choriocarcinoma]] | |||
❑Embryonal cell carcinoma | |||
❑[[Yolk sac tumor]] | |||
❑Mixed germ cell tumor<br> | |||
'''Sex cord/stromal tumors''' | '''Sex cord/stromal tumors''' | ||
❑[[Leydig cell tumor]] | |||
❑[[Sertoli cell tumor]]<br> | |||
'''Metastasis to testis'''|E02=<br> | '''Metastasis to testis'''|E02=<br> | ||
❑Testicular cyst | |||
❑Tubular ectasia of rete testes | |||
❑Focal orchitis | |||
❑Focal intratesticular hemorrhage | |||
❑[[Testicular torsion]] | |||
❑Segmental testicular infarction | |||
❑Intra testicular adrenal rest | |||
❑Focal granulomatous disease: | |||
❑[[Tuberculosis]] | |||
❑[[Sarcoidosis]] | |||
❑[[Polyorchidism]] | |||
❑[[varicocele|Intratesticular varicocele]] | |||
❑Intratesticular arteriovenous malformation|E03=<br> | |||
❑[[Acute lymphoblastic leukemia]] | |||
❑[[Chronic lymphocytic leukemia]] | |||
❑[[Non-Hodgkin's lymphoma]] | |||
❑[[Metastases]]|E04=<br> | |||
❑Intra testicular adrenal rests}} | |||
{{familytree/end}} | {{familytree/end}} | ||
Revision as of 17:06, 25 February 2016
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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 | ❑Testicular cyst ❑Tubular ectasia of rete testes ❑Focal orchitis ❑Focal intratesticular hemorrhage ❑Testicular torsion ❑Segmental testicular infarction ❑Intra testicular adrenal rest ❑Focal granulomatous disease: ❑Tuberculosis ❑Sarcoidosis ❑Polyorchidism ❑Intratesticular varicocele ❑Intratesticular arteriovenous malformation | ❑Acute lymphoblastic leukemia ❑Chronic lymphocytic leukemia ❑Non-Hodgkin's lymphoma ❑Metastases | ❑Intra testicular adrenal rests | ||||||||||||||||||||||||||||||||||||||||||||||||
References
- ↑ 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
- ↑ 2.0 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
- ↑ 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
- ↑ 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