Imaging of mesothelioma of tunica vaginalis testis

M. Bertolotto, I. Boulay-Coletta, R. Butini, S. M. Dudea, N. Grenier, G. Oltmanns, P. Ramchandani, Marjorie W. Stein, M. Valentino, Lorenzo E. Derchi

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objectives: To describe the imaging findings in a series of patients with mesothelioma of the tunica vaginalis testis. Methods: We reviewed clinical data, imaging findings and follow-up information in a series of 10 pathology-proven cases of mesothelioma (all had US; 2 had MR) of the tunica vaginalis. Results: A variety of patterns could be observed, the most common (5/10) being a hydrocele with parietal, solid and hypervascular vegetations; one patient had a septated hydrocele with hypervascular walls; one had multiple, solid nodules surrounded by a small, physiological quantity of fluid; one a cystic lesion with thick walls and vegetations compressing the testis; two had a solid paratesticular mass. MR showed multiple small nodules on the surface of the tunica vaginalis in one case and diffuse thickening and vegetations in the other one; lesions had low signal intensity on T2-w images and were hypervascular after contrast injection. Conclusions: A preoperative diagnosis of mesotheliomas presenting as solid paratesticular masses seems very difficult with imaging. On the contrary, the diagnosis must be considered in patients in whom a hydrocele with parietal vegetations is detected, especially if these show high vascularity. Key Points: • Mesotheliomas of the tunica vaginalis are rare, often challenging to diagnose preoperatively. • Most common finding is a complex hydrocele with hypervascular parietal vegetations. • Septated hydrocele, nodules without hydrocele, a thick-walled paratesticular cyst are less common. • Preoperative diagnosis may allow aggressive surgical approach and, possibly, a better prognosis.

Original languageEnglish (US)
Pages (from-to)631-638
Number of pages8
JournalEuropean Radiology
Volume26
Issue number3
DOIs
StatePublished - Mar 1 2016

Fingerprint

Mesothelioma
Testis
Cysts
Pathology
Injections

Keywords

  • Magnetic resonance imaging
  • Mesothelioma
  • Preoperative diagnosis
  • Tunica vaginalis testis
  • Ultrasound

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Bertolotto, M., Boulay-Coletta, I., Butini, R., Dudea, S. M., Grenier, N., Oltmanns, G., ... Derchi, L. E. (2016). Imaging of mesothelioma of tunica vaginalis testis. European Radiology, 26(3), 631-638. https://doi.org/10.1007/s00330-015-3887-9

Imaging of mesothelioma of tunica vaginalis testis. / Bertolotto, M.; Boulay-Coletta, I.; Butini, R.; Dudea, S. M.; Grenier, N.; Oltmanns, G.; Ramchandani, P.; Stein, Marjorie W.; Valentino, M.; Derchi, Lorenzo E.

In: European Radiology, Vol. 26, No. 3, 01.03.2016, p. 631-638.

Research output: Contribution to journalArticle

Bertolotto, M, Boulay-Coletta, I, Butini, R, Dudea, SM, Grenier, N, Oltmanns, G, Ramchandani, P, Stein, MW, Valentino, M & Derchi, LE 2016, 'Imaging of mesothelioma of tunica vaginalis testis', European Radiology, vol. 26, no. 3, pp. 631-638. https://doi.org/10.1007/s00330-015-3887-9
Bertolotto M, Boulay-Coletta I, Butini R, Dudea SM, Grenier N, Oltmanns G et al. Imaging of mesothelioma of tunica vaginalis testis. European Radiology. 2016 Mar 1;26(3):631-638. https://doi.org/10.1007/s00330-015-3887-9
Bertolotto, M. ; Boulay-Coletta, I. ; Butini, R. ; Dudea, S. M. ; Grenier, N. ; Oltmanns, G. ; Ramchandani, P. ; Stein, Marjorie W. ; Valentino, M. ; Derchi, Lorenzo E. / Imaging of mesothelioma of tunica vaginalis testis. In: European Radiology. 2016 ; Vol. 26, No. 3. pp. 631-638.
@article{759bb7d302754b9dbc46fe63a8b74ed3,
title = "Imaging of mesothelioma of tunica vaginalis testis",
abstract = "Objectives: To describe the imaging findings in a series of patients with mesothelioma of the tunica vaginalis testis. Methods: We reviewed clinical data, imaging findings and follow-up information in a series of 10 pathology-proven cases of mesothelioma (all had US; 2 had MR) of the tunica vaginalis. Results: A variety of patterns could be observed, the most common (5/10) being a hydrocele with parietal, solid and hypervascular vegetations; one patient had a septated hydrocele with hypervascular walls; one had multiple, solid nodules surrounded by a small, physiological quantity of fluid; one a cystic lesion with thick walls and vegetations compressing the testis; two had a solid paratesticular mass. MR showed multiple small nodules on the surface of the tunica vaginalis in one case and diffuse thickening and vegetations in the other one; lesions had low signal intensity on T2-w images and were hypervascular after contrast injection. Conclusions: A preoperative diagnosis of mesotheliomas presenting as solid paratesticular masses seems very difficult with imaging. On the contrary, the diagnosis must be considered in patients in whom a hydrocele with parietal vegetations is detected, especially if these show high vascularity. Key Points: • Mesotheliomas of the tunica vaginalis are rare, often challenging to diagnose preoperatively. • Most common finding is a complex hydrocele with hypervascular parietal vegetations. • Septated hydrocele, nodules without hydrocele, a thick-walled paratesticular cyst are less common. • Preoperative diagnosis may allow aggressive surgical approach and, possibly, a better prognosis.",
keywords = "Magnetic resonance imaging, Mesothelioma, Preoperative diagnosis, Tunica vaginalis testis, Ultrasound",
author = "M. Bertolotto and I. Boulay-Coletta and R. Butini and Dudea, {S. M.} and N. Grenier and G. Oltmanns and P. Ramchandani and Stein, {Marjorie W.} and M. Valentino and Derchi, {Lorenzo E.}",
year = "2016",
month = "3",
day = "1",
doi = "10.1007/s00330-015-3887-9",
language = "English (US)",
volume = "26",
pages = "631--638",
journal = "European Radiology",
issn = "0938-7994",
publisher = "Springer Verlag",
number = "3",

}

TY - JOUR

T1 - Imaging of mesothelioma of tunica vaginalis testis

AU - Bertolotto, M.

AU - Boulay-Coletta, I.

AU - Butini, R.

AU - Dudea, S. M.

AU - Grenier, N.

AU - Oltmanns, G.

AU - Ramchandani, P.

AU - Stein, Marjorie W.

AU - Valentino, M.

AU - Derchi, Lorenzo E.

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Objectives: To describe the imaging findings in a series of patients with mesothelioma of the tunica vaginalis testis. Methods: We reviewed clinical data, imaging findings and follow-up information in a series of 10 pathology-proven cases of mesothelioma (all had US; 2 had MR) of the tunica vaginalis. Results: A variety of patterns could be observed, the most common (5/10) being a hydrocele with parietal, solid and hypervascular vegetations; one patient had a septated hydrocele with hypervascular walls; one had multiple, solid nodules surrounded by a small, physiological quantity of fluid; one a cystic lesion with thick walls and vegetations compressing the testis; two had a solid paratesticular mass. MR showed multiple small nodules on the surface of the tunica vaginalis in one case and diffuse thickening and vegetations in the other one; lesions had low signal intensity on T2-w images and were hypervascular after contrast injection. Conclusions: A preoperative diagnosis of mesotheliomas presenting as solid paratesticular masses seems very difficult with imaging. On the contrary, the diagnosis must be considered in patients in whom a hydrocele with parietal vegetations is detected, especially if these show high vascularity. Key Points: • Mesotheliomas of the tunica vaginalis are rare, often challenging to diagnose preoperatively. • Most common finding is a complex hydrocele with hypervascular parietal vegetations. • Septated hydrocele, nodules without hydrocele, a thick-walled paratesticular cyst are less common. • Preoperative diagnosis may allow aggressive surgical approach and, possibly, a better prognosis.

AB - Objectives: To describe the imaging findings in a series of patients with mesothelioma of the tunica vaginalis testis. Methods: We reviewed clinical data, imaging findings and follow-up information in a series of 10 pathology-proven cases of mesothelioma (all had US; 2 had MR) of the tunica vaginalis. Results: A variety of patterns could be observed, the most common (5/10) being a hydrocele with parietal, solid and hypervascular vegetations; one patient had a septated hydrocele with hypervascular walls; one had multiple, solid nodules surrounded by a small, physiological quantity of fluid; one a cystic lesion with thick walls and vegetations compressing the testis; two had a solid paratesticular mass. MR showed multiple small nodules on the surface of the tunica vaginalis in one case and diffuse thickening and vegetations in the other one; lesions had low signal intensity on T2-w images and were hypervascular after contrast injection. Conclusions: A preoperative diagnosis of mesotheliomas presenting as solid paratesticular masses seems very difficult with imaging. On the contrary, the diagnosis must be considered in patients in whom a hydrocele with parietal vegetations is detected, especially if these show high vascularity. Key Points: • Mesotheliomas of the tunica vaginalis are rare, often challenging to diagnose preoperatively. • Most common finding is a complex hydrocele with hypervascular parietal vegetations. • Septated hydrocele, nodules without hydrocele, a thick-walled paratesticular cyst are less common. • Preoperative diagnosis may allow aggressive surgical approach and, possibly, a better prognosis.

KW - Magnetic resonance imaging

KW - Mesothelioma

KW - Preoperative diagnosis

KW - Tunica vaginalis testis

KW - Ultrasound

UR - http://www.scopus.com/inward/record.url?scp=84957971253&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84957971253&partnerID=8YFLogxK

U2 - 10.1007/s00330-015-3887-9

DO - 10.1007/s00330-015-3887-9

M3 - Article

C2 - 26115654

AN - SCOPUS:84957971253

VL - 26

SP - 631

EP - 638

JO - European Radiology

JF - European Radiology

SN - 0938-7994

IS - 3

ER -