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='''Neoplastic'''|F02='''Non neoplastic'''|F03='''Neoplastic'''|F04='''Non neoplastic'''}} | {{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]] | :❑[[teratoma|Testicular teratoma]]<br> | ||
❑Testicular epidermoid | :❑Testicular epidermoid<br> | ||
❑[[Choriocarcinoma]] | :❑[[Choriocarcinoma]]<br> | ||
❑Embryonal cell carcinoma | :❑Embryonal cell carcinoma<br> | ||
❑[[Yolk sac tumor]] | :❑[[Yolk sac tumor]]<br> | ||
❑Mixed germ cell tumor<br> | :❑Mixed germ cell tumor<br> | ||
'''Sex cord/stromal tumors''' | ❑'''Sex cord/stromal tumors'''<br> | ||
❑[[Leydig cell tumor]] | :❑[[Leydig cell tumor]]<br> | ||
❑[[Sertoli cell tumor]]<br> | :❑[[Sertoli cell tumor]]<br> | ||
'''Metastasis to testis'''|E02=<br> | ❑'''Metastasis to testis'''|E02=❑Testicular cyst<br> | ||
❑Tubular ectasia of rete testes<br> | |||
❑Tubular ectasia of rete testes | ❑Focal orchitis<br> | ||
❑Focal orchitis | ❑Focal intratesticular hemorrhage<br> | ||
❑Focal intratesticular hemorrhage | ❑[[Testicular torsion]]<br> | ||
❑[[Testicular torsion]] | ❑Intra testicular adrenal rest<br> | ||
❑[[Tuberculosis]]<br> | |||
❑Intra testicular adrenal rest | ❑[[Sarcoidosis]]<br> | ||
❑[[Polyorchidism]]<br> | |||
❑[[Tuberculosis]] | ❑[[varicocele|Intratesticular varicocele]]<br> | ||
❑[[Sarcoidosis]] | ❑Intratesticular arteriovenous malformation<br>|E03=❑[[Acute lymphoblastic leukemia]]<br> | ||
❑[[Polyorchidism]] | ❑[[Chronic lymphocytic leukemia]]<br> | ||
❑[[varicocele|Intratesticular varicocele]] | ❑[[Non-Hodgkin's lymphoma]]<br> | ||
❑Intratesticular arteriovenous malformation|E03= | ❑[[Metastases]]<br>|E04=❑Intra testicular adrenal rests}} | ||
❑[[Acute lymphoblastic leukemia]] | |||
❑[[Chronic lymphocytic leukemia]] | |||
❑[[Non-Hodgkin's lymphoma]] | |||
❑[[Metastases]]|E04= | |||
❑Intra testicular adrenal rests}} | |||
{{familytree/end}} | {{familytree/end}} | ||
Revision as of 17:10, 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
❑Sex cord/stromal tumors | ❑Testicular cyst ❑Tubular ectasia of rete testes | ❑Acute lymphoblastic leukemia ❑Chronic lymphocytic leukemia | ❑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