Ultrasound in diagnosis of intrascrotal metastasis of Wilms-tumor: first case report of a Chinese boy and review of the literature

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• 作者：Yu-Jia Yang ; Bo Xiang ; Ju-Xian Liu ; Mei Yang…
• 关键词：Ultrasound ; Wilms-tumor ; Scrotum ; Metastasis
• 刊名：Journal of Medical Ultrasonics
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：42
• 期：4
• 页码：575-578
• 全文大小：853 KB
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• 作者单位：Yu-Jia Yang (1)
  Bo Xiang (2)
  Ju-Xian Liu (1)
  Mei Yang (3)
  Hui-Zhu Chen (4)
  
  1. Department of Ultrasound, West China Hospital of Sichuan University, No. 37 Guo Xue Xiang, Chengdu, Sichuan, China
  2. Department of Pediatric Surgery, West China Hospital of Sichuan University, Chengdu, China
  3. Department of Pathology, West China Hospital, Sichuan University, Chengdu, China
  4. Department of Radiology, West China Second Hospital, Sichuan University, Chengdu, China
  
• 刊物主题：Ultrasound; Imaging / Radiology;
• 出版者：Springer Japan
• ISSN：1613-2254

文摘

A 31-month-old boy with Wilms-tumor (WT), which primarily had originated from the left kidney, was treated with nephrectomy and adjuvant chemotherapy. 2 months after nephrectomy, a left scrotal mass was found at routine follow-up. High-frequency sonography examination revealed an enlarged left testis with a heterogeneous texture and a hypoechoic solid mass in the left scrotum. Moreover, hypervascular signals presented in both the left testis and the mass on color Doppler flow imaging. Left orchiectomy was performed for suspected intrascrotal metastasis of WT, which was confirmed by histopathology examination. This was the first case of intrascrotal metastasis of WT reported in China with a detailed ultrasound description. Meanwhile, this study also reviewed the comparable diagnostic methods of intrascrotal metastasis of WT found in the English literature. Keywords Ultrasound Wilms-tumor Scrotum Metastasis