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Multiparametric Ultrasound Imaging Characteristics of Multiple Testicular Adrenal Rest Tumours in Congenital Adrenal Hyperplasia by Nina M Mansoor; Dean Y Huang; Paul S Sidhu is a Medicine article available to read on EtoBox.

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## Introduction Testicular adrenal rest cell tumours (TART) are rare benign adrenocorticotropic hormone-dependent testicular tumours, which can develop in patients with congenital adrenal hyperplasia. If left untreated, they can cause testicular tissue damage and infertility. Ultrasound is the imaging modality of choice allowing for non-invasive diagnosis provided that characteristic features are seen. In recent times, magnetic resonance imaging characteristics have also been described to aid diagnosis. ## Case Report This case describes the imaging features of multiple bilateral TART in a young patient with congenital adrenal hyperplasia. Traditional greyscale and colour Doppler ultrasound demonstrated intratesticular, predominantly hypoechoic areas, with increased surrounding colour Doppler flow. In addition, contrast-enhanced ultrasound and strain elastography were performed, showing increased TART vascularisation and increased stiffness in the hypoechoic areas. Subsequent magnetic resonance imaging confirmed bilateral lobulated, well demarcated, intratesticular lesions, which appeared predominantly isointense on T1-weighted imaging, hypointense on T2-weighted imaging, with hete

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Author

Nina M Mansoor; Dean Y Huang; Paul S Sidhu

Publisher

SAGE Publications

Published

2021

Language

EN

Field

Medicine (Health Sciences)