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[PMID]:28440217
[Au] Autor:Patoulias D; Kalogirou M; Patoulias I
[Ad] Endereço:1st Department of Pediatric Surgery, Aristotle University of Thessaloniki, GH G. Gennimatas, Thessaloniki, Greece. dipatoulias@gmail.com.
[Ti] Título:Intraparenchymal Epididymal Cyst (IEC) 4 cm in Diameter in a 15-Year Old Male Patient; a Case Report and Review of the Literature.
[So] Source:Acta Medica (Hradec Kralove);59(4):137-139, 2016.
[Is] ISSN:1211-4286
[Cp] País de publicação:Czech Republic
[La] Idioma:eng
[Ab] Resumo:Intraparenchymal epididymal cysts (IECs) are benign cystic formations of the epididymis of unknown pathogenesis, which typically appear in adolescence or adulthood. In patients older than 14 years old their prevalence is doubled. After systematic and thorough research of the current literature, we did not find another case report of intraparenchymal epididymal cyst with similar dimensions. The male patient, 15 years old, visited our outpatient department complaining of pain in the right hemiscrotum. Diagnosis of IEC was confirmed after the conduction of ultrasound examination. Patient underwent surgical exploration of the right hemiscrotum. Resection of the IEC followed. Postoperative course was uneventful, with recession of the symptoms. In our opinion, IECs should be surgically removed, either when they are symptomatic or when they are asymptomatic, but of a diameter greater than 1 cm and without regression tendency.
[Mh] Termos MeSH primário: Espermatocele/patologia
[Mh] Termos MeSH secundário: Adolescente
Seres Humanos
Masculino
Espermatocele/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170606
[Lr] Data última revisão:
170606
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170426
[St] Status:MEDLINE
[do] DOI:10.14712/18059694.2017.41


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[PMID]:27483085
[Au] Autor:Matulewicz RS; Meeks JJ
[Ti] Título:JAMA PATIENT PAGE. Testicular Mass.
[So] Source:JAMA;316(5):557, 2016 Aug 02.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Doenças Testiculares/diagnóstico
Doenças Testiculares/terapia
Testículo/patologia
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Estadiamento de Neoplasias
Orquiectomia
Espermatocele/diagnóstico
Espermatocele/terapia
Doenças Testiculares/patologia
Hidrocele Testicular/diagnóstico
Hidrocele Testicular/terapia
Neoplasias Testiculares/diagnóstico
Neoplasias Testiculares/terapia
Testículo/irrigação sanguínea
Varicocele/diagnóstico
Varicocele/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; PATIENT EDUCATION HANDOUT
[Em] Mês de entrada:1608
[Cu] Atualização por classe:161017
[Lr] Data última revisão:
161017
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160803
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2016.2445


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[PMID]:27454594
[Au] Autor:Papadakis GZ; Millo C; Sadowski SM; Bagci U; Patronas NJ
[Ad] Endereço:From the *Radiology and Imaging Sciences, Warren Grant Magnuson Clinical Center, †Division of Nuclear Medicine, RADIS, Clinical Center, and ‡Endocrine Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD; §Endocrine and Thoracic Surgery, University Hospitals of Geneva, Geneva, Switzerland; and ∥Center for Research in Computer Vision, Electrical and Computer Science Department, University of Central Florida, Orlando, FL.
[Ti] Título:Epididymal Cystadenomas in von Hippel-Lindau Disease Showing Increased Activity on 68Ga DOTATATE PET/CT.
[So] Source:Clin Nucl Med;41(10):781-2, 2016 Oct.
[Is] ISSN:1536-0229
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:von Hippel-Lindau (VHL) disease is a familial cancer syndrome characterized by the development of a variety of malignant and benign tumors, including epididymal cystadenomas. We report a case of a VHL patient with bilateral epididymal cystadenomas who was evaluated with Ga DOTATATE PET/CT, showing intensely increased activity (SUVmax, 21.6) associated with the epididymal cystadenomas, indicating cell-surface overexpression of somatostatin receptors. The presented case supports the usefulness of somatostatin receptor imaging using Ga DOTA-conjugated peptides for detection and follow-up of VHL manifestations, as well as surveillance of asymptomatic gene carriers.
[Mh] Termos MeSH primário: Cistadenoma/diagnóstico por imagem
Tomografia Computadorizada com Tomografia por Emissão de Pósitrons
Espermatocele/diagnóstico por imagem
Doença de von Hippel-Lindau/diagnóstico por imagem
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Meia-Idade
Compostos Organometálicos
Compostos Radiofarmacêuticos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Organometallic Compounds); 0 (Radiopharmaceuticals); 9L17Y0H71P (dotatate gallium ga-68)
[Em] Mês de entrada:1701
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160726
[St] Status:MEDLINE
[do] DOI:10.1097/RLU.0000000000001314


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[PMID]:27421073
[Au] Autor:Hicks N; Gupta S
[Ad] Endereço:a Worcestershire Acute Hospitals NHS Trust , Worcester , UK.
[Ti] Título:Complications and risk factors in elective benign scrotal surgery.
[So] Source:Scand J Urol;50(6):468-471, 2016 Dec.
[Is] ISSN:2168-1813
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The primary aim of this study was to assess the complication rate after elective scrotal surgery for benign conditions, following the observation that a higher than expected number of patients were requiring intervention for complications of their surgery. The secondary aim was to assess how different risk factors affected the complication rate, therefore identifying areas for improvement in clinical practice. MATERIALS AND METHODS: All patients from April 2008 to September 2013 who underwent an elective hydrocele repair, epididymal cyst excision or epididymectomy at a UK district general hospital were included. Patient notes were reviewed and risk factors for surgery and postoperative complications recorded. RESULTS: In total, 222 patients were included. The overall complication rate was 27.4%. Complications included haematoma (9.0%), infection (5.0%), recurrence of swelling (7.2%) and chronic pain (0.2%). The only risk factor to have a significant relationship to complication rate was a body mass index of 30 kg/m² or greater (χ² = 6.698, p = 0.010). CONCLUSIONS: The most common complications after scrotal surgery for benign conditions were haematoma formation, infection and recurrence or persistence of swelling. The only risk factor identified as having a potentially adverse effect on complication rate was a raised body mass index of 30 or greater.
[Mh] Termos MeSH primário: Índice de Massa Corporal
Edema/etiologia
Hematoma/etiologia
Complicações Pós-Operatórias/etiologia
Procedimentos Cirúrgicos Urogenitais/efeitos adversos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Dor Crônica/etiologia
Procedimentos Cirúrgicos Eletivos/efeitos adversos
Epididimo/cirurgia
Seres Humanos
Infecção/etiologia
Masculino
Meia-Idade
Recidiva
Fatores de Risco
Espermatocele/cirurgia
Hidrocele Testicular/cirurgia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170620
[Lr] Data última revisão:
170620
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160716
[St] Status:MEDLINE


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[PMID]:27352614
[Au] Autor:Dyer C
[Ad] Endereço:The BMJ.
[Ti] Título:Surgeon who removed patient's testicle is struck off.
[So] Source:BMJ;353:i3587, 2016 Jun 27.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Licenciamento
Erros Médicos
Orquiectomia
Espermatocele/cirurgia
[Mh] Termos MeSH secundário: Decepção
Seres Humanos
Masculino
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160630
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.i3587


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[PMID]:26041595
[Au] Autor:Hesser AC; Davidson AP
[Ad] Endereço:Department of Population Health and Reproduction, School of Veterinary Medicine, University of California, Davis, CA. Electronic address: ahesser@ucdavis.edu.
[Ti] Título:Spermatocele in a South African Boerboel dog.
[So] Source:Top Companion Anim Med;30(1):28-30, 2015 Mar.
[Is] ISSN:1946-9837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A 2-year-old intact male South African Boerboel presented for semen cryopreservation and was discovered to be azoospermic. The dog had excellent libido and had sired litters within 6 months, so a further investigation of why his collection lacked sperm was warranted. On further examination of his scrotal contents, his right epididymis had an enlarged area with a hard texture. Ultrasonography revealed that the enlarged area of the right epididymis was fluid filled. A sample of the fluid was aspirated for aerobic culture. No bacteria showed growth. Although the culture was negative, it was suspected that this dog had an epididymitis or epididymal abscess, and treatment with enrofloxacin at 10mg/kg orally was initiated for 4 weeks. The abnormal texture and fluid-filled cavity in the right epididymis persisted, despite antibiotic therapy. Cytology of a repeat aspiration of the fluid-filled area after antibiotic therapy revealed a mixture of red blood cells and sperm. Owing to the potential for blood-testis barrier disruption, a unilateral orchiectomy of the right testicle was performed, as an attempt to protect future sperm production of the remaining testicle. A spermatocele was confirmed on histopathology. After another month, an excellent-quality semen sample was collected, with 90% progressive motility, good concentration, and few morphologic abnormalities. A subsequent collection was acquired and was successfully cryopreserved for future breeding. In dogs with spermatoceles, semen quality can be preserved with aggressive treatment to remove the affected testicle. The disruption of the blood-testis barrier in spermatoceles may result in antisperm antibody production and eventual infertility; however, cryopreservation can result in long-term options for owners seeking to continue using an animal in their breeding program.
[Mh] Termos MeSH primário: Azoospermia/veterinária
Doenças do Cão/diagnóstico
Espermatocele/veterinária
[Mh] Termos MeSH secundário: Animais
Azoospermia/diagnóstico
Azoospermia/diagnóstico por imagem
Criopreservação/veterinária
Diagnóstico Diferencial
Doenças do Cão/cirurgia
Cães
Masculino
Orquiectomia/veterinária
Paracentese/veterinária
Linhagem
Espermatocele/diagnóstico
Espermatocele/cirurgia
Espermatozoides
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150605
[St] Status:MEDLINE


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[PMID]:25847888
[Au] Autor:Mahlknecht A; Mahlknecht P; Fallaha M; Wieser A
[Ad] Endereço:Department of Urology, General Hospital Meran. alois.mahlknecht@asbmeran-o.it.
[Ti] Título:Tubular ectasia of the rete testis (TERT). Differential diagnosis of cystic testicular disorders.
[So] Source:Arch Ital Urol Androl;87(1):5-7, 2015 Mar 31.
[Is] ISSN:1124-3562
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:The ultrasound scan plays an essential role in the urological-andrological diagnosis. High-resolution transducers (8-15 MHz) make it possible to prove increasingly small changes. The assessment of cystic masses in the testis can also be difficult for experienced doctors. However, a precise diagnosis is crucial for the patient to avoid further invasive diagnostics and therapy. The differential diagnosis of benign intra-testicular cystic lesions include the tubular ectasia of the rete testis (TERT), the cystic dysplasia, epidermoid cysts, dermoid cysts, simple testicular cysts and cysts of the tunica albuginea. Malign testicular tumours with cystic changes are particularly the mature teratoma, carcinomas of the epididymis and metastasis. The following overview shows different sonographic images and interpretations with a particular focus on TERT.
[Mh] Termos MeSH primário: Rede do Testículo/diagnóstico por imagem
Doenças Testiculares/diagnóstico por imagem
[Mh] Termos MeSH secundário: Cistos/diagnóstico por imagem
Diagnóstico Diferencial
Dilatação Patológica/diagnóstico por imagem
Seres Humanos
Masculino
Espermatocele/diagnóstico por imagem
Neoplasias Testiculares/diagnóstico por imagem
Ultrassonografia
Varicocele/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1507
[Cu] Atualização por classe:161125
[Lr] Data última revisão:
161125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150408
[St] Status:MEDLINE
[do] DOI:10.4081/aiua.2015.1.5


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[PMID]:25786605
[Au] Autor:Annam A; Munden MM; Mehollin-Ray AR; Schady D; Browne LP
[Ad] Endereço:Department of Pediatric Radiology, Children's Hospital Colorado, 13123 East 16th Ave., Box 125, Aurora, CO, 80045, USA.
[Ti] Título:Extratesticular masses in children: taking ultrasound beyond paratesticular rhabdomyosarcoma.
[So] Source:Pediatr Radiol;45(9):1382-91, 2015 Aug.
[Is] ISSN:1432-1998
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Extratesticular cystic and solid scrotal masses are commonly encountered in pediatrics. The most common extratesticular malignancy is paratesticular rhabdomyosarcoma. The remainder of the common pathologies encountered -- appendage torsion, epididymitis and varicoceles -- are mostly benign. These frequently encountered benign lesions are confidently differentiated from paratesticular rhadbomyosarcoma using high-frequency scrotal sonography in combination with clinical features. Less commonly encountered extratesticular masses may not be as easily classified; however, these also have distinguishing features that can enable differentiation from malignancy. This review discusses the sonographic findings, and relevant clinical and pathological manifestations of the more unusual extratesticular masses encountered in two tertiary pediatric institutions during a 10-year period. While these extratesticular pathologies are encountered relatively infrequently, recognition of their manifestations enables appropriate management.
[Mh] Termos MeSH primário: Escroto/diagnóstico por imagem
Espermatocele/diagnóstico por imagem
Neoplasias Testiculares/diagnóstico por imagem
Testículo/anormalidades
Testículo/diagnóstico por imagem
Ultrassonografia/métodos
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Diagnóstico Diferencial
Seres Humanos
Lactente
Recém-Nascido
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1605
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150320
[St] Status:MEDLINE
[do] DOI:10.1007/s00247-015-3316-x


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[PMID]:25274974
[Au] Autor:Blair RJ
[Ad] Endereço:Department of Pediatrics, Stony Brook University School of Medicine, Stony Brook, NY.
[Ti] Título:Testicular and scrotal masses.
[So] Source:Pediatr Rev;35(10):450-1; discussion 451, 2014 Oct.
[Is] ISSN:1526-3347
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Doenças Testiculares/diagnóstico
[Mh] Termos MeSH secundário: Hérnia Inguinal/diagnóstico
Seres Humanos
Masculino
Espermatocele/diagnóstico
Varicocele/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1510
[Cu] Atualização por classe:161020
[Lr] Data última revisão:
161020
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141003
[St] Status:MEDLINE
[do] DOI:10.1542/pir.35-10-450


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[PMID]:25140311
[Au] Autor:Iacono F; Ruffo A; Prezioso D; Romeo G; Illiano E; Di Lauro G; Romis L; Sansalone S
[Ad] Endereço:Department of Urology, Federico II University, Via S. Pansini 5, 80100 Naples, Italy.
[Ti] Título:Treatment of bilateral varicocele and other scrotal comorbidities using a single scrotal access: our experience on 34 patients.
[So] Source:Biomed Res Int;2014:403603, 2014.
[Is] ISSN:2314-6141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Varicocele is the main cause of infertility in male and the most correctable cause of it too. In this study, we present our experience on 34 patients affected by bilateral varicocele and other scrotal comorbidities treated underwent surgery with a scrotal access. MATERIALS AND METHODS: 34 patients were enrolled with clinical palpable and infraclinical (ultrasonic doppler scanning) bilateral varicocele and other comorbidities like right hydrocele, left hydrocele, bilateral hydrocele, and epididymal cyst. They all underwent scrotal bilateral varicocelectomy under local anesthesia. RESULTS AND DISCUSSION: At 6 months, no other complications were reported. No case of testicular atrophy was observed. None had recurrence of varicocele. All scrotal comorbidities were treated as well. CONCLUSION: Scrotal access with local anesthesia is a safe and useful technique to treat patients with bilateral varicocele and other scrotal comorbidities.
[Mh] Termos MeSH primário: Infertilidade Masculina/cirurgia
Hidrocele Testicular/cirurgia
Testículo/cirurgia
Varicocele/cirurgia
[Mh] Termos MeSH secundário: Adulto
Comorbidade
Seres Humanos
Infertilidade Masculina/patologia
Masculino
Complicações Pós-Operatórias
Espermatocele/patologia
Espermatocele/cirurgia
Hidrocele Testicular/patologia
Testículo/patologia
Varicocele/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1505
[Cu] Atualização por classe:150804
[Lr] Data última revisão:
150804
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140821
[St] Status:MEDLINE
[do] DOI:10.1155/2014/403603



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