RE: The value of testicular ultrasound in the prediction of the type and size of testicular tumors
We read with great interest the article “The value of testicular ultrasound in the prediction of the type and size of testicular tumors” by Shtricker A. et al (1). This article highlights an interesting role of testicular ultrasound finding in managing testicular tumor, particularly regarding the...
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Brazilian Society of Urology
2016
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iium-507052017-10-15T16:45:11Z http://irep.iium.edu.my/50705/ RE: The value of testicular ultrasound in the prediction of the type and size of testicular tumors Kamarulzaman, Mohd Nazli Che Mohamed, Siti Kamariah RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD Surgery We read with great interest the article “The value of testicular ultrasound in the prediction of the type and size of testicular tumors” by Shtricker A. et al (1). This article highlights an interesting role of testicular ultrasound finding in managing testicular tumor, particularly regarding the ability of testicular ultrasound to differentiate between these three lesions: benign lesion, seminomatous germ cell tumor (SGCT) and non-seminomatous germ tumor (NSGCT). The presence of necrosis is more suggestive of malignant tumors, whereas hypoechogeneity and fibrosis on testicular ultrasound are more suggestive of SGCT type (1). These finding will increase the ability to differentiate type of testicular tumor preoperatively in addition to traditionally use tumor markers. Hopefully in near future the characteristic of different type of cancers can be done to form risk stratification Table. On the other hand, this article gives us a big doubt regarding the ability of preoperative ultrasound to estimate the tumor size as compared to pathological measurement. It was not verified the actual time interval between diagnostic ultrasound and the orchiectomy. Fast growing cancer will give significant change in size within short period of time. Thus, the ultrasound findings will be smaller in comparison to pathological size if the time interval between the ultrasound and operation was a week or more. In contrast to malignant lesion, the benign lesion was well documented as slow growing and expected to have similar size during diagnostic ultrasound and pathological specimen regardless the time interval; as shown in this study that 100% of benign tumors showed similar sizes for both measurements (1, 2). Furthermore, the study was conducted in multicentre which will give more varieties in term of technique as ultrasound requires a highly experienced and skilled operator, as well as advance equipment (3). Brazilian Society of Urology 2016-03 Article PeerReviewed application/pdf en http://irep.iium.edu.my/50705/1/Letter_Shtricker_397_398.pdf application/pdf en http://irep.iium.edu.my/50705/4/50705-RE_The_value_of_testicular_ultrasound_SCOPUS.pdf application/pdf en http://irep.iium.edu.my/50705/5/50705-RE_The_value_of_testicular_ultrasound_WOS.pdf Kamarulzaman, Mohd Nazli and Che Mohamed, Siti Kamariah (2016) RE: The value of testicular ultrasound in the prediction of the type and size of testicular tumors. International Brazilian Journal of Urology, 42 (2). pp. 397-398. ISSN 1677-5538 E-ISSN 1677-6119 http://www.scielo.br/pdf/ibju/v42n2/1677-5538-ibju-42-02-0397.pdf 10.1590/S1677-5538.IBJU.2015.0728 |
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RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD Surgery |
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RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD Surgery Kamarulzaman, Mohd Nazli Che Mohamed, Siti Kamariah RE: The value of testicular ultrasound in the prediction of the type and size of testicular tumors |
description |
We read with great interest the article “The value of testicular ultrasound in the prediction
of the type and size of testicular tumors” by Shtricker A. et al (1). This article highlights
an interesting role of testicular ultrasound finding in managing testicular tumor, particularly
regarding the ability of testicular ultrasound to differentiate between these three lesions: benign
lesion, seminomatous germ cell tumor (SGCT) and non-seminomatous germ tumor (NSGCT). The
presence of necrosis is more suggestive of malignant tumors, whereas hypoechogeneity and fibrosis
on testicular ultrasound are more suggestive of SGCT type (1). These finding will increase
the ability to differentiate type of testicular tumor preoperatively in addition to traditionally use
tumor markers. Hopefully in near future the characteristic of different type of cancers can be
done to form risk stratification Table.
On the other hand, this article gives us a big doubt regarding the ability of preoperative
ultrasound to estimate the tumor size as compared to pathological measurement. It was
not verified the actual time interval between diagnostic ultrasound and the orchiectomy. Fast
growing cancer will give significant change in size within short period of time. Thus, the ultrasound
findings will be smaller in comparison to pathological size if the time interval between
the ultrasound and operation was a week or more. In contrast to malignant lesion, the benign
lesion was well documented as slow growing and expected to have similar size during diagnostic
ultrasound and pathological specimen regardless the time interval; as shown in this study
that 100% of benign tumors showed similar sizes for both measurements (1, 2). Furthermore,
the study was conducted in multicentre which will give more varieties in term of technique as
ultrasound requires a highly experienced and skilled operator, as well as advance equipment (3).
|
format |
Article |
author |
Kamarulzaman, Mohd Nazli Che Mohamed, Siti Kamariah |
author_facet |
Kamarulzaman, Mohd Nazli Che Mohamed, Siti Kamariah |
author_sort |
Kamarulzaman, Mohd Nazli |
title |
RE: The value of testicular ultrasound in the prediction of
the type and size of testicular tumors |
title_short |
RE: The value of testicular ultrasound in the prediction of
the type and size of testicular tumors |
title_full |
RE: The value of testicular ultrasound in the prediction of
the type and size of testicular tumors |
title_fullStr |
RE: The value of testicular ultrasound in the prediction of
the type and size of testicular tumors |
title_full_unstemmed |
RE: The value of testicular ultrasound in the prediction of
the type and size of testicular tumors |
title_sort |
re: the value of testicular ultrasound in the prediction of
the type and size of testicular tumors |
publisher |
Brazilian Society of Urology |
publishDate |
2016 |
url |
http://irep.iium.edu.my/50705/ http://irep.iium.edu.my/50705/ http://irep.iium.edu.my/50705/ http://irep.iium.edu.my/50705/1/Letter_Shtricker_397_398.pdf http://irep.iium.edu.my/50705/4/50705-RE_The_value_of_testicular_ultrasound_SCOPUS.pdf http://irep.iium.edu.my/50705/5/50705-RE_The_value_of_testicular_ultrasound_WOS.pdf |
first_indexed |
2023-09-18T21:11:42Z |
last_indexed |
2023-09-18T21:11:42Z |
_version_ |
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