Objective: To report our experience of a contemporary series of patients who underwent radical orchidectomy for non-palpable testicular masses, in order to comment on their malignant potential and identify any factors...Objective: To report our experience of a contemporary series of patients who underwent radical orchidectomy for non-palpable testicular masses, in order to comment on their malignant potential and identify any factors predictive of a malignant outcome. Materials and Methods: We reviewed the case-notes of patients who underwent radical inguinal orchidectomy over a 22-month period between January 2010 and October 2011. Results: A total of 71 patients were analysed, with a mean (range) age of 45 years (17 - 82). Overall, 41 (57.7%) orchidectomies were malignant and 30 (42.3%) were benign. There were 20 (28%) non-palpable testicular masses found incidentally on ultrasound, and of these 40% were malignant and 60% were benign. In total 6 of these non-palpable lesions were <1 cm in size, and of these 66.6% were malignant and 33.3% were benign. The majority of tumours were in patients under the age of 50, but there was no correlation between the lesion size and the risk of a malignant outcome. Conclusion: In view of the significant rate of malignancy in non-palpable testicular masses we recommend surgical intervention over surveillance alone. However, as the majority of these lesions may eventually turn out to be benign, we suggest that testis-sparing surgery is the optimal approach, and should be performed in centres where the required radiological, histopathological, and surgical expertise exists.展开更多
Smart phone applications (apps) for radiologists are on the rise. Not only do they assist the radiologist in reference to information but they can also aid in their day-to-day functioning too most notably through imag...Smart phone applications (apps) for radiologists are on the rise. Not only do they assist the radiologist in reference to information but they can also aid in their day-to-day functioning too most notably through image viewing apps known as Digital Imaging and Communications in Medicine (DICOM) viewers. These kinds of apps signal a transition towards an increasingly mobile medical environment in what could be an exciting but cautious time for radiologists as these apps are not without their own concerns. In this review we provide basic information on how to create an app, highlight the current state of play of pivotal radiology apps and discuss the legal issues surrounding them.展开更多
文摘Objective: To report our experience of a contemporary series of patients who underwent radical orchidectomy for non-palpable testicular masses, in order to comment on their malignant potential and identify any factors predictive of a malignant outcome. Materials and Methods: We reviewed the case-notes of patients who underwent radical inguinal orchidectomy over a 22-month period between January 2010 and October 2011. Results: A total of 71 patients were analysed, with a mean (range) age of 45 years (17 - 82). Overall, 41 (57.7%) orchidectomies were malignant and 30 (42.3%) were benign. There were 20 (28%) non-palpable testicular masses found incidentally on ultrasound, and of these 40% were malignant and 60% were benign. In total 6 of these non-palpable lesions were <1 cm in size, and of these 66.6% were malignant and 33.3% were benign. The majority of tumours were in patients under the age of 50, but there was no correlation between the lesion size and the risk of a malignant outcome. Conclusion: In view of the significant rate of malignancy in non-palpable testicular masses we recommend surgical intervention over surveillance alone. However, as the majority of these lesions may eventually turn out to be benign, we suggest that testis-sparing surgery is the optimal approach, and should be performed in centres where the required radiological, histopathological, and surgical expertise exists.
文摘Smart phone applications (apps) for radiologists are on the rise. Not only do they assist the radiologist in reference to information but they can also aid in their day-to-day functioning too most notably through image viewing apps known as Digital Imaging and Communications in Medicine (DICOM) viewers. These kinds of apps signal a transition towards an increasingly mobile medical environment in what could be an exciting but cautious time for radiologists as these apps are not without their own concerns. In this review we provide basic information on how to create an app, highlight the current state of play of pivotal radiology apps and discuss the legal issues surrounding them.
