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Various Intratesticular Hypoechoic Lesions on Scrotal Sonography

초음파에서 보이는 다양한 고환 내 저음영 병변

  • Jung In Jo (Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Dal Mo Yang (Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Hyun Cheol Kim (Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Sang Won Kim (Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University)
  • 조정인 (경희대학교 의과대학 강동경희대학교병원 영상의학과) ;
  • 양달모 (경희대학교 의과대학 강동경희대학교병원 영상의학과) ;
  • 김현철 (경희대학교 의과대학 강동경희대학교병원 영상의학과) ;
  • 김상원 (경희대학교 의과대학 강동경희대학교병원 영상의학과)
  • Received : 2021.05.26
  • Accepted : 2021.09.27
  • Published : 2022.07.01

Abstract

Sonography with a high-frequency transducer is the modality of choice for imaging the scrotum. Most intratesticular lesions are hypoechoic. Differentiation of intratesticular hypoechoic lesions as either malignant or benign is important because the treatment of these lesions vary. In this paper, we review the sonographic features of different types of intratesticular hypoechoic lesions, such as testicular cysts, testicular tumors, testicular inflammatory lesions, segmental testicular infarction, and testicular trauma.

고주파 탐촉자를 이용한 초음파 검사는 음낭 검사의 일차선택 영상기법이다. 대부분의 고환 내 병변은 초음파 검사에서 저음영 병변으로 보인다. 고환 내 저음영 병변을 악성 혹은 양성 병변으로 구별하는 것은 중요한데, 병변의 악성 혹은 양성 여부에 따라 병변의 치료가 달라지기 때문이다. 이에 본 임상화보에서는 고환의 낭성 병변, 고환 종양, 고환의 염증성 병변, 고환 구역성 경색증, 그리고 고환 외상 등 다양한 고환 내 저음영 병변의 초음파 소견들에 대해 알아보고자 한다.

Keywords

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