Multimodal ultrasound features analysis of mixed germ cell tumor of the testis
Objective To explore the multimodal ultrasound sonographic features and clinical manifestations of tes-ticular mixed germ cell tumors(TMGCT).Methods Forty-four patients with pathologically confirmed mixed germ cell tumors of the testis were selected from June 2013 to December 2023 in he First Affiliated Hospital of Zhengzhou University,and their sonographic data were retrospectively analyzed,including grayscale ultrasound,color Doppler ultrasound,ultra-sonography and elastography.Results The age of 44 patients was(24.65±9.59)years,and the maximum diameter of the tumors was(50.77±23.31)mm.Gray-scale ultrasound showed that34 cases(77.27%)had mixed cystic-solid ech-oesonultrasound,7cases(15.91%)practicedinhomogeneoushypoechoicity,1 case(2.27%)hadsolidhomogeneous hypoechoicity,1 case(2.27%)had solid inhomogeneous hypoechoicity,and 1 case(2.27%)had solid heterogeneous moderate echo.Color Doppler ultrasound showed that 12 cases(27.27%)had gradeⅠflow signal,20 cases(45.46%)had grade Ⅱ flow signal,and 12 cases(27.27%)had gradeⅢflow signal.Ultrasonography showed that the overall per-formance of the 3 patients was"fast in and out".Elastic imaging showed that the pressure-strain elasticity scores of the le-sions in 2 cases were 3 and 4,respectively.Conclusion Multimodal ultrasound diagnosis of testicular mixed germ cell tumor has certain imaging characteristics,but the overall complexity,combined with serum tumor markers and clinical his-tory,can significantly improve the diagnosis of TMGCT and its identification.
万方数据
维普
