Testicular carcinoma is the most common cancer among males aged 15-34 years. The known risk factors for testicular cancer include undescended testis (cryptorchidism), testicular dysfunction, perinatal factors and prior history of cancer in one testis. We aimed to determine the diagnostic accuracy of color doppler ultrasound in diagnosis of testicular carcinoma using histopathology as GOLD STANDARD.
ology: A cross sectional study was conducted from July 2015 to Feb 2016 at the Department of Radiology, Jinnah Post Graduate Medical Center, Karachi. 311 subjects were selected through inpatient/outpatient or emergency department. Patients were evaluated for testicular carcinoma by color doppler ultrasound on Toshiba nemio. Finding of color doppler ultrasound was compared with histopathology. True positive, true negative, false positive, false negative as per operational definition was determined.
Mean age of the patients of the study was 41.76 ± 8.11 (30-50) and mean and SD of Duration of symptoms was 5.5 ± 3.5 (4-15) months. Of 175(56.27%) subjects diagnosed as testicular carcinoma on CDUS, only 160(48.55%) were subsequently found to have testicular carcinoma. sensitivity of CDUS in diagnosing scrotal diseases was 88.8% while specificity was 78.1%.
We conclude that CDUS is an excellent, safe, and reliable method for evaluating patients with testicular carcinoma. It helps to improve patient's management, especially by preventing unnecessary surgical exploration. It is also convenient and easy to perform. But it has its own limitations, and requires adequate expertise and experience. Its results are also equipment dependent.
Annals of medicine and surgery (2012). 2022 Nov 18*** epublish ***
Kamran Fazal, Adnan Fazal, Irfan Siddiqui, Hassan Mumtaz, Abdul Basir, Muhammad Meezan Butt, Muhammad Aman, Faheemullah Khan, Izaz Ahmad, Yumna Shams, Anam Bashir
Department of Radiology, Aga Khan University Hospital, Pakistan., Department of Cardiology, National Institute of Cardiovascular Diseases, Pakistan., Department of Emergency Medicine, Ziauddin University Hospital, Pakistan., Maroof Int Hospital, Pakistan., Department of Radiology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan., Pak International Medical College, Peshawar, Pakistan., UT Southwestern Medical Center, USA.