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In clinical practice, there is an increasing incidence of small, non-palpable testicular lesions identified with an ultrasonographic investigation performed for other purposes. Many of these lesions are benign tumours or non-neoplastic conditions. In this context, the old axiom that every testicular mass should be considered a malignant tumour and the testis must be removed is no longer valid. Many lesions can either undergo active surveillance or testis-sparing surgery. Testis-sparing surgery for non-palpable nodules requires a precise intraoperative ultrasonographic localisation of the nodule within the exposed testicle and placement of a localising needle while the patient is on the operating table.

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The Role of Intraoperative Ultrasound for Testicular Masses

  • 章节

  • 发表日期：

    2025年

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  • Michele Bertolotto,
  • Irene Campo,
  • Nicola Pavan,
  • Giovanni Liguori,
  • Stefano Bucci,
  • Michele Rizzo,
  • Rosaria Perrone,
  • Lorenzo E. Derchi,
  • Massimo Valentino

摘要

In clinical practice, there is an increasing incidence of small, non-palpable testicular lesions identified with an ultrasonographic investigation performed for other purposes. Many of these lesions are benign tumours or non-neoplastic conditions. In this context, the old axiom that every testicular mass should be considered a malignant tumour and the testis must be removed is no longer valid. Many lesions can either undergo active surveillance or testis-sparing surgery. Testis-sparing surgery for non-palpable nodules requires a precise intraoperative ultrasonographic localisation of the nodule within the exposed testicle and placement of a localising needle while the patient is on the operating table.