Research and Reports in Urology (Dec 2020)
Multimodality Radiological Pictorial Review of Testicular Carcinoma: From Initial Staging to Restaging
Abstract
Jonathan W Revels,1 Sherry S Wang,2 Kiran Gangadhar,3 Arafat Ali,4 Al-Amin Ali,5 Jean H Lee3 1Department of Radiology, University of New Mexico, Albuquerque, NM, USA; 2Department of Radiology and Imaging Sciences, University of Utah, Salt Lake, UT, USA; 3Department of Radiology, University of Washington Medical Center, Seattle, WA, USA; 4Department of Radiology, University of Cincinnati Medical Center, Cincinnati, OH, USA; 5Department of Literature, Science, and Arts, University of Michigan, Ann Arbor, MI, USACorrespondence: Jonathan W Revels Email [email protected]: With an overall 5-year survival rate > 95%, patients with testicular cancer have a great prognosis. Although initial diagnosis is based on clinical examination, imaging does play a significant role in the diagnosis and prognosis of testicular cancer, which are dependent on tumor burden and staging. Successful treatment requires appropriate disease assessment throughout a patient’s treatment: evaluating treatment response, restaging, and monitoring for disease recurrence after treatment completion. Ultrasound is usually the initial screening modality for painless testicular masses, and computedtomography (CT) the most commonly used for staging and restaging. However, with regard to seminomas, positron-emission tomography (PET) combined with CT is slowly taking priority. With regard to nonseminomatous germ-cell tumors, PET-CT has not proven to be completely effective, due to a high number of false-negative results. The purpose of this paper is to provide radiologists with a pictorial review of testicular carcinoma from initial staging through posttreatment follow-up.Keywords: testicular, oncology, computed tomography, positron-emission tomography
