title: Lymphoma of the spermatic cord: sonographic appearance.
abstract: Primary lymphoma of the spermatic cord is a rare disease accounting for about 1.6% of primary spermatic cord tumors. We hereby present a new case in which color Doppler ultrasound (US), contrast-enhanced US, and MRI suggested a specific diagnosis that was subsequently confirmed pathologically. Color Doppler US revealed mostly hypoechoic, slighly hypervascular tissue surrounding the normal spermatic vessels, which was markedly hypervascular at contrast-enhanced US. MRI showed diffuse infiltration by homogeneously enhancing tissue surrounding the spermatic vessels hypointense to testis on T2-weighted images, isointense on T1-weighed images, lacking fat tissue, with relatively high signal intensity on diffusion-weighted images.
authors.affiliation: Department of Radiology, University of Trieste, Ospedale di Cattinara, Strada di Fiume 447, 34149, Trieste, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Bertolotto
authors.forename: Antonio
authors.initials: A
authors.lastname: Borsato
authors.forename: Lorenzo E
authors.initials: LE
authors.lastname: Derchi
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005834:Genital Neoplasms, Male / Q000000981:diagnostic imaging*; D006801:Humans; D008223:Lymphoma / Q000000981:diagnostic imaging*; D008297:Male; D013085:Spermatic Cord / Q000000981:diagnostic imaging*; D018615:Ultrasonography, Doppler, Color / Q000379:methods*
keywords: CEUS; MR imaging; lymphoma; spermatic cord; ultrasonography