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Journal of Korean Society of Ultrasound in Medicine 1999 ; 18 (3) : p.183-188

Testicular Relapse of Acute Lymphocytic Leukemia : Usefulness of Color and Power Doppler Sonography
Kwang-Hun Lee, M.D. Choon-Sik Yoon, M.D., Sung Il Lee, M.D.,Myung-Joon Kim, M.D., Chang Hyun Yang, M.D.
Department of Diagnostic Radiology, Yonsei University College of Medicine, Research Institute of Radiological Science, Yonsei University, Department of Pediatrics, Yongdong Severance Hospital, Yonsei University College of Medicine
= Abstract = PURPOSE : To evaluate the usefulness of color and power Doppler sonography in detecting testicu-lar relapse of leukemia. MATERIALS and METHODS :Both gray-scale and color (power) Doppler ultrasound (US) were per-formed in seven patients. Two additional patients examined by gray-scale US only were in-cluded. The patients were 4 - 14 years old (mean age, 9 years). Ten testes were confirmed to have leukemic relapse, eight by pathology and two by clinical evidence. RESULTS : Gray-scale US showed variable findings : heterogeneous hypoechogenicity (5) and ho-mogeneous isoechogenicity (5). In all seven patients (8 testes) who underwent both color and power Doppler US, diffuse and marked hypervascularity was demonstrated. One case showed enlarged epididymis with heterogeneous echogenicity, which was the same character as the in-volved testis. CONCLUSION : Color and power Doppler US are useful methods in the identification of the testicu-lar relapse of leukemia by demonstrating diffuse, marked hypervascularity in the proper clini-cal settings.
Keyword : Testis, US, Testis, neoplasms
pdf파일 : 183이광훈.pdf
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