Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Seminoma CT
Introduction
Overview
Overview
Abdominal and pelvic CT scans may be diagnostic of seminoma. CT scan may detect metastases of seminoma to the para-aortic, inguinal or iliac lymph nodes. Visceral metastas is may observed.Chest CT is indicated when CXR is abnormal regional para-aortic lymph node spread is present.
CT
CT
- Abdominal and pelvic CT scan may be helpful in the diagnosis of seminoma. Findings on CT scan diagnostic of seminoma include:[1][2]
- Retroperitoneal lymph nodes
- Metastases to the para-aortic lymph nodes (It is the first site of spread lymphatic drainage at the level of the renal vessels)
- Bulky nodal
- Density homogenous,
- Tend to encase surrounding vessels
- Inguinal or iliac lymph node metastases suggest:
- lymphatic spread by the scrotum
- local tumor extension further the tunica vaginalis
- Visceral metastases
- Chest CT is indicated when:
- CXR is abnormal
- Regional para-aortic lymph node spread is present
References
References
- ↑ Radiographic features of testicular seminoma. Dr Marcin Czarniecki and Dr Andrew Dixon et al. Radiopaedia 2016. http://radiopaedia.org/articles/testicular-seminoma-1. Accessed on February 29, 2016
- ↑ Marko J, Wolfman DJ, Aubin AL, Sesterhenn IA (2017). “Testicular Seminoma and Its Mimics: From the Radiologic Pathology Archives”. Radiographics. 37 (4): 1085–1098. doi:10.1148/rg.2017160164. PMC 5548453. PMID 28574809.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]