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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Main Authors: Kamarulzaman, Mohd Nazli, Che Mohamed, Siti Kamariah
Format: Article
Language:English
English
English
Published: Brazilian Society of Urology 2016
Subjects:
Online Access: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
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recordtype eprints
spelling 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
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
English
topic RC0254 Neoplasms. Tumors. Oncology (including Cancer)
RD Surgery
spellingShingle 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
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