3 The follow-up evaluations by ultrasound of the testicular adrenal rests tumor in congenital adrenal hyperplasia Dr. Li Ma1, Ms. Linlin Wang2, Dr. Yu Xia1, Mr. Ruifeng Liu1, Ms. Xuepei Huang1, Ms. Tiantian Ye1, Dr. Li Zhang1, Dr. Qingli Zhu1, Dr. Jianchu Li1, Dr. Yuxin Jiang1 1 Peking Union Medical College Hospital, Beijing, China, 2Harrison International Peace Hospital, Hengshui, China
Objectives Testicular adrenal rests tumor (TART) is one of the less seen benign tumors in testis, mostly occurred in patients with congenital adrenal hyperplasia (CAH). As the first-line examination method, ultrasound provides crucial imformation for diagnosis and determination on further interventions. This study aims to summarize the sonographic features and trace their evolvments during steriod therapy. Methods The clinical and sonographic features of 8 patients diagnosed with congenial adrenal hyperplasia with suspected tesicular involvment were colleted and anlyzed. The sonoraphic pictures and reports were reviewed again by experienced radiologists. Follow-up data were also collected. Results The age of enrolled patients were between 13 to 27 years old. 1 patient was diagnosed as Aspermia, while another patient was diagnosed as Azoospermia.7 of 8(87.5%) patients had bilateral testicular lesions with identical characteristics, while 1 patient had unilateral lesions. The lesions were between 8Ă—7mm to 35Ă—14mm in size; All lesions had clear boundaries, while the shape and echogenicity varied. 2 patients had follow-up examinations after steriod therapy, and the tumor size and vascularity were altered in corresponding to ACTH levels. Conclusions Key sonographic characteristics of TART are: resembled lesions on both sides, clear bounaries, and changes in sonographic characteristics after steriod therapy. These features can help radiologists to make timely and accurate diagnosis.
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