2464: 3D ultrasound in 2D unjustified scrotal mass lesion

Abstract

Objectives: Some of the testicular and epididymal mass lesions are usually difficult to be justified using conventional high resolution scrotal ultrasound (HRUS). The aim of this study is to assess accuracy of 3D ultrasound methods (rendering and 3D-XI-Dynamic MR) in justification of some of scrotal mass lesions. Methods: Using 3D Medison-ACCUVIX-XQ ultrasound machine. The study included 28 patients (17 testicular and 11 epididymal mass lesions) examined by both conventional HRUS and 3D methods. Findings are correlated with biopsy results. Results: The conventional ultrasonographic findings and 3D (rendering and 3D-XI) diagnosis agreed in 23 patients (82.2 %). 3D scrotal ultrasound provided additional diagnosis in five and differed in four (21.7%). Diagnosis was missed using conventional HRUS in only one patient. The mentioned figures of 3D methods include both rendering and 3D-XI as a single advantage of the 3D ultrasound machines. Conclusions: Conventional ultrasound diagnosis is correct in a considerable number of men with scrotal masses. However; the routine use of conventional scrotal ultrasound in diagnosis of scrotal mass lesion is inappropriate and should be upgraded with 3D methods for more specific indications.