Postorchiectomy intrascrotal hematoma mimicking local recurrence on 18F-FDG PET/CT: a diagnostic dilemma

Clin Nucl Med. 2012 May;37(5):e102-3. doi: 10.1097/RLU.0b013e31824853ae.

Abstract

Intratesticular hematomas usually develop immediately after orchiectomy is done for testicular tumors and may last for 3 to 6 weeks or longer. They may be confused with local recurrence on clinical examination and imaging. We present the (18)F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) images of a 30-year-old man who underwent right radical transinguinal orchiectomy for seminoma. PET/CT done 8 weeks after orchiectomy revealed a soft tissue lesion in the right scrotum with increased FDG uptake, suspicious for local recurrence. However, on color Doppler ultrasonography of the scrotum, the mass was confirmed to be a hematoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Fluorodeoxyglucose F18*
  • Hematoma / diagnostic imaging*
  • Hematoma / etiology*
  • Humans
  • Male
  • Multimodal Imaging / methods*
  • Neoplasm Recurrence, Local / diagnostic imaging*
  • Orchiectomy / adverse effects*
  • Positron-Emission Tomography*
  • Scrotum / blood supply*
  • Scrotum / pathology
  • Tomography, X-Ray Computed*

Substances

  • Fluorodeoxyglucose F18