[Testicular adrenal rests: the role of imaging].
Testicular adrenal rests are encountered in ACTH hypersecretion syndromes, most often in congenital adrenal hyperplasia attributable to a deficit in 21-hydroxylase. They are discovered clinically or on systematic sonography, generally in the young adult. On sonography, they appear as confluent hypoechogenic masses, often bilateral, that have developed in the region of the testicular hilum. At a late stage, they take on a highly suggestive attenuating aspect. In color Doppler, they have a regular vascular architecture. They generally regress or stabilize with replacement glucocorticosteroid treatment. They can sometimes progress, which then poses the problem of the type of lesion. Biopsy or spermatic vein samples are not reliable. MRI contributes very little more than sonography. Diagnosis comes with follow-up or, as a last resort, orchidectomy.
Ribagnac
M
M
Service de Radiologie Urinaire et Vasculaire, Hospices Civils de Lyon, Hôpital Edouard Herriot, 69437 Lyon.
Brac De La Perrière
A
A
Lyonnet
D
D
Rouvière
O
O
D000311:Adrenal Glands; D002828:Choristoma; D003952:Diagnostic Imaging; D006801:Humans; D008297:Male; D013733:Testicular Diseases / Q000175:diagnosis