Osama Al-Saeed1, Mehraj Sheikh, E O Kehinde, R Makar. 1. Department of Radiology, Mubarak Al-Kabeer Hospital, Faculty of Medicine, Kuwait University, P.O. Box 24923, Safat 13110, Kuwait.
Abstract
PURPOSE: The aim of this study was to review the incidence and type of seminal vesicle (SV) masses discovered during transrectal sonography (TRUS) of the prostate. METHODS: Patients were a consecutive series of men referred for TRUS of the prostate because of lower urinary tract symptoms or elevated prostate-specific antigen levels, who were found on TRUS to have SV masses. Patients with prostate cancer involving the SVs were excluded. Cystic lesions were sampled by fine-needle aspiration and solid lesions by core biopsy, all under sonographic guidance. RESULTS: Of the 450 patients who underwent TRUS between January 1997 and December 2001, 10 (2%) were found to have SV masses; 5 masses were cystic and 5 were solid. Cytologic evaluation of aspirated specimens revealed benign findings in all 5 cysts. Four of the 5 patients with solid SV masses had chronic schistosomiasis, and the mass in the fifth patient was a metastatic deposit from a renal cell carcinoma. CONCLUSIONS: SV masses may be responsible for lower urinary tract symptoms in a small fraction of cases. A cystic mass is presumptively benign, whereas a solid lesion has a small probability of being malignant, especially if the patient has a primary neoplasm elsewhere. Schistosomiasis should always be considered when making a differential diagnosis in patients who live in areas where infestation is endemic. Copyright 2003 Wiley Periodicals, Inc. J Clin Ultrasound 31:201-206, 2003
PURPOSE: The aim of this study was to review the incidence and type of seminal vesicle (SV) masses discovered during transrectal sonography (TRUS) of the prostate. METHODS:Patients were a consecutive series of men referred for TRUS of the prostate because of lower urinary tract symptoms or elevated prostate-specific antigen levels, who were found on TRUS to have SV masses. Patients with prostate cancer involving the SVs were excluded. Cystic lesions were sampled by fine-needle aspiration and solid lesions by core biopsy, all under sonographic guidance. RESULTS: Of the 450 patients who underwent TRUS between January 1997 and December 2001, 10 (2%) were found to have SV masses; 5 masses were cystic and 5 were solid. Cytologic evaluation of aspirated specimens revealed benign findings in all 5 cysts. Four of the 5 patients with solid SV masses had chronic schistosomiasis, and the mass in the fifth patient was a metastatic deposit from a renal cell carcinoma. CONCLUSIONS:SV masses may be responsible for lower urinary tract symptoms in a small fraction of cases. A cystic mass is presumptively benign, whereas a solid lesion has a small probability of being malignant, especially if the patient has a primary neoplasm elsewhere. Schistosomiasis should always be considered when making a differential diagnosis in patients who live in areas where infestation is endemic. Copyright 2003 Wiley Periodicals, Inc. J Clin Ultrasound 31:201-206, 2003
Authors: Sekeleghe A Kayuni; Mohammad H Al-Harbi; Peter Makaula; Boniface Injesi; Bright Mainga; Fanuel Lampiao; Lazarus Juziwelo; E James LaCourse; J Russell Stothard Journal: Trop Med Infect Dis Date: 2022-08-05
Authors: Sekeleghe Kayuni; Fanuel Lampiao; Peter Makaula; Lazarus Juziwelo; E James Lacourse; Jutta Reinhard-Rupp; Peter D C Leutscher; J Russell Stothard Journal: Parasite Epidemiol Control Date: 2018-11-23