Multimodal Ultrasound Characterization of a Testicular Leydig Cell Tumor With Emphasis on Microvascular Flow Imaging Findings: A Case Report and Literature Review.
Wenjing Pang, Pei-Long Li, Tian-Gang Li
✦ AI-curated · Sources linked
Case in brief
A patient presented with a right testicular mass detected during routine preconception screening. Multimodal ultrasound, including color Doppler flow imaging and Microvascular Flow Imaging, revealed unique peripheral annular vascularity and intralesional blood flow. Histopathological examination confirmed the diagnosis of a Leydig cell tumor. The case highlights the utility of advanced ultrasound techniques in diagnosing testicular tumors.
What made this case unusual
The case uniquely demonstrated both peripheral annular vascularity and intralesional blood flow using Microvascular Flow Imaging, which are distinctive features not commonly reported in Leydig cell tumors.
Diagnostic / clinical pearl
Clinicians should consider the use of multimodal ultrasound techniques, particularly Microvascular Flow Imaging, to enhance the diagnostic accuracy of testicular Leydig cell tumors.
Why it matters
This case underscores the importance of advanced imaging modalities in differentiating testicular tumors, potentially leading to earlier and more accurate diagnoses.