E1884. Benign Intratesticular Masses: A Pictorial Review
  1. Havisha Munjal; University of Rochester School of Medicine and Dentistry
  2. Jared Macher; University of Rochester School of Medicine and Dentistry
  3. Mitchell Martinez; University of Rochester Medical Center
  4. Anisha Shetty; University of Rochester School of Medicine and Dentistry
  5. Vikram Dogra; University of Rochester Medical Center
Testicular cancer accounts for 1% of all malignancies in men and typically presents as a painless testicular mass. While the majority of testicular masses are malignant, it is necessary to rule out benign soft tissue lesions and mimics to avoid unnecessary surgical intervention, namely radical orchiectomy. Ultrasound remains the imaging modality of choice for initial evaluation of testicular lesions.

Educational Goals / Teaching Points
This educational exhibit will review characteristic sonographic findings that can help distinguish benign testicular masses from malignant masses. The exhibit will include associated histopathological correlation and additional imaging modalities that can aid in diagnosis. Finally, management considerations including follow up and treatment, will be discussed in order to provide guidance for radiologists and other physicians in caring for these patients.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Benign intratesticular masses includes a broad spectrum of solid, cystic and vascular lesions, which can be challenging to differentiate from malignant masses such as germ cell and stromal tumors.

In this educational exhibit, we will identify characteristic sonographic features of benign intratesticular masses that differentiate them from malignant masses and provide guidance for follow-up imaging and care.