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= | {{familytree |boxstyle=background: #DCDCDC;| | | E01 | | | | | | E02 | | E03 | | | | | | E04 | |E01=*'''Non seminomatous germ cell tumor'''<br> | ||
❑ [[teratoma|Testicular teratoma]]<br> | |||
❑ Testicular epidermoid<br> | |||
❑ [[Choriocarcinoma]]<br> | |||
❑ Embryonal cell carcinoma<br> | |||
❑ [[Yolk sac tumor]]<br> | |||
❑ Mixed germ cell tumor<br> | |||
*'''Sex cord/stromal tumors'''<br> | |||
❑ [[Leydig cell tumor]]<br> | |||
❑ [[Sertoli cell tumor]]<br> | |||
*'''Metastasis to testis'''|E02=❑ Testicular cyst<br> | |||
❑ Tubular ectasia of rete testes<br> | ❑ Tubular ectasia of rete testes<br> | ||
❑ Focal orchitis<br> | ❑ Focal orchitis<br> | ||
Revision as of 17:13, 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
❑ Leydig cell tumor
| ❑ 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