Testicles were kicked and broken

The testicle is an important part of the male reproductive system and has rich nerves. If the testicle is kicked and broken, severe pain will occur, which can easily cause painful shock. Testicular rupture will also cause bleeding. A kicked and broken testicle is generally irreparable and needs to be removed by surgery. If a testicle is lost, it generally does not have much impact on the health of the body. Let's learn about the relevant content of testicular imaging examination.

The main ultrasound manifestations are a significant increase in the volume of the testicles, clear lesion edges, and the presence of uneven hypoechoic masses with clear boundaries. A few lesions have dot-like strong echoes and small pieces of anechoic areas. Color Doppler examination results show that the lesions have abundant blood flow signals, and some small lesions have scattered dot-like blood flow signals.

(2) Non-seminoma of the testis:

Mixed germ cell tumor, teratoma, germinal sinus tumor, embryonal carcinoma, etc. are all non-seminoma. The ultrasound manifestation of mixed germ cell tumor is mainly multi-chamber with mixed echo, disordered structure, with point-like strong echo, irregular liquid dark area, blurred boundary, and color Doppler examination results show that there are abundant blood flow signals in the mass. The ultrasound manifestation of testicular teratoma is mainly a mixed cystic and solid echo mass, some of which have strong echo, and color Doppler examination results show that there are point-like and strip-like blood flow signals in the solid part of the mass. The ultrasound manifestation of endodermal sinus tumor is mainly a low-echo mass with blurred boundaries and multiple clusters of strong echoes inside. The color Doppler examination results show that the blood flow signal in the mass is relatively rich. The ultrasound manifestation of embryonal carcinoma is mainly a low-echo mass with blurred boundaries and uneven echoes inside. The color Doppler examination results show that the blood flow signal in the mass is slightly rich.

Stromal cell tumors, mucinous cystadenoma with focal carcinoma, and hamartoma are all non-germ cell tumors. The ultrasound manifestations of stromal cell tumors are low echo and high echo. Malignant stromal cell tumors often exceed 5 cm, often with invasive marginal necrosis and rich blood flow signals. The ultrasound manifestations of mucinous cystadenoma with focal carcinoma are mainly significant enlargement of the testicles, with a small amount of normal testicular tissue, mixed echoes mainly cystic, showing honeycomb changes, and punctate blood flow signals in some tumor parenchyma. The ultrasound manifestations of hamartoma are mainly coarse calcification with acoustic shadows behind.

Testicular lymphoma is the most common type of secondary testicular tumor in clinical practice. Elderly men are the main patients of this disease. Patients mainly seek medical treatment for testicular tumors. Ultrasound manifestations are mainly diffuse and mass-type hypoechoic. Compared with the mass-type, the diffuse type is more common; the internal part of the mass shows uneven echoes, and the color Doppler examination results show that the blood flow signal is relatively rich.

(5) Testicular epidermoid cyst:

The ultrasound appearance of testicular epidermoid cysts is characteristic, with alternating hypoechoic and hyperechoic changes, showing onion-like changes, with relatively clear boundaries, and may show dot-like strong echoes. Some lesions do not have onion-like changes, but are hypoechoic, with clear boundaries and uneven distribution. Color Doppler examination found that there was no significant blood flow signal in the lesion.