title: Imaging of Bilateral Synchronous Testicular Tumors of Different Histologic Types and Implications for Surgical Management.
abstract: The clinical history and imaging and pathologic findings in 4 patients with bilateral synchronous testicular tumors of dissimilar histologic types were reviewed. All patients had a large scrotal mass on one side and a smaller nodule on the other one. The appearances of each pair of lesions were different enough to suggest that they could possibly be of different histologic types. The most important role of imaging, however, was its capability to guide the surgical approach to these patients: in 1 case, the smallest lesion was recognized as an epidermoid cyst; in 2 others a conservative approach was deemed possible, given the lesions' small volumes and peripheral locations.
authors.affiliation: Department of Radiology, University of Trieste, Trieste, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Bertolotto
authors.affiliation: Department of Adult Diagnostic and Interventional Imaging, Hospital Group Pellegrin, University of Bordeaux, Bordeaux, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Grenier
authors.affiliation: Department of Radiology, Charité Medical University, Berlin, Germany.
authors.forename: Bernd
authors.initials: B
authors.lastname: Hamm
authors.affiliation: Department of Radiology, San Giovanni di Dio Hospital, Gorizia, Italy.
authors.forename: Tiziano
authors.initials: T
authors.lastname: Stocca
authors.affiliation: Department of Surgical Sciences and Integrated Diagnostics, Pathology Section, University of Genoa, Genoa, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Sarocchi
authors.affiliation: Department of Health Sciences, Radiology Section, University of Genoa, Genoa, Italy derchi@unige.it.|Department of Emergency Radiology, Scientific Institute of Hospitalization and Treatment, Azienda University San Martino Hospital Scientific Tumor Institute, Genoa, Italy derchi@unige.it.
authors.forename: Lorenzo E
authors.initials: LE
authors.lastname: Derchi
mesh_terms: D000328:Adult; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D013737:Testis / Q000000981:diagnostic imaging / Q000601:surgery; D014463:Ultrasonography
keywords: bilateral synchronous lesions; dissimilar histologic types; genitourinary ultrasound; germ cell tumors; preoperative imaging; testis-sparing surgery