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Testicular Relapse of Acute Lymphocytic Leukemia : Usefulness of Color and Power Doppler Sonography |
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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. |
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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 |
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= 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. |
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Keyword : Testis, US, Testis, neoplasms |
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pdf파일 : 183이광훈.pdf
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