Testicular Ultrasound Results

[3kidsinall]

Thank you I went & picked up the u/s report this morning. This is what it reads:

Findings: There is bilateral testicular flow. The testicles are slightly inhomogeneous in appearance. No focal mass lesion is seen in the testicle. In the right lower scrotum there is an area of masslike density which on ultrasound exam appears to be separate from the testicle. This measures approximately 1 cm in diameter and reportedly is the area of palpable abnormality as demonstrated by the patient. This is a solid lesion of uncertain etiology. It does not appear to be within the right testicle but is in the right scrotal area. There are changes on the left suggesting a left varcocele.

Summary:
1. 1 cm mass lower medial right scrotum
2. Left testicular varcocele
3. Mild inhomogeneity of testicles without focal mass

Ok, so it sounds to me that it is indeed a solid mass, but not inside the testicle? So what on earth can this mean?

Thanks so much again!!!!

[dadmo]

The really great news is that it's not part of the testicle. If that's correct then it can't be testicular cancer. At this point it could be lot's of things none of which should be dangerous. If you were to exam your husband can you feel the lump?

[3kidsinall]

Oh, well that's great to know! He says that he has trouble finding it himself. He does have high levels of uric acid & battles gout. I wonder if those type of crystals can form in the scrotum? It does say that it is a solid lesion, but it's baffling what it could be. It is really amazing to me how little information is available on the web when it comes to this!

[3kidsinall]

One more thing I wanted to add real quick. My husband reminded me of something the u/s tech said while doing it. When she was telling us at the time that she saw something, she did say, "it's not inside the testicle, but it's on the WALL of the testicle". Is there any kind of t/c that can form in this way? Thanks again

[dadmo]

If the tumor is part of the testicle it may be tc. Some tumors are inside the testicle and some buldge out. It would be a much better sign if it wasn't on the testicle.

[Karen]

Summary:
1. 1 cm mass lower medial right scrotum
2. Left testicular varcocele
3. Mild inhomogeneity of testicles without focal mass

The report, read by a radiologist, makes me interpret it as NOT attached to the testicle. The technician's comment casts some doubt. There are some very experienced techs that can probably read the scan as well or better than a doc...but some are inexperienced, which is why techs are usually instructed not to say anything to the patient. My husband's tech told him everything was absolutely fine and the radiologist reported a 2cm mass. The radiologist was correct.

You're going to drive yourself crazy second guessing this. Bottom line is, the only was to REALLY find out what this could be is to meet with the doc.

[3kidsinall]

Well, we saw the urologist yesterday. He feels it is safe to wait 6 weeks and do another ultrasound at that time to see if it is still there or if there is any change. He didn't have the u/s pictures to look at, but based it on the typed report. We feel a little confused because it was a very short appointment---most of which was spent with a PA, but guess we'll go with it

[dadmo]

If the lump is not part of the testicle the wait should be fine. Did the doc at least do an exam?

[3kidsinall]

Hey Dadmo...thanks so much for the quick reply The doctor didn't, but the PA did. He was asking my husband, "feel this...was this there before", but my husband has no clue...he never felt the lump himself. Our primary doc was the one that found it & sent him for the u/s. The pain doesn't come from wherever this "lesion" is, but comes from the other side-we were told because of the varicocele. I can't stand it when you feel like you are being rushed....we really left kind of scratching our heads. He even had the nerve to tell him to take the rest of the Cipro becuase, "you already paid for it, may as well finish it". Yet he never mentioned anything about an infection. He spent enough time w/us to crack a few jokes about needing to remove both his testicles (I thought it was a little tacky....my husband thought he was just trying to break the ice). In fact, our primary called when he got the u/s report & specifically said, "it's not an infection so stop taking the cipro...it won't help". I'm hoping it's going to end up being just a b9 inflamation or something like that. I figure we'll just wait for the 6 weeks (he goes on 7/2 and then back the urologist on 7/3) and if any new symptoms were to arise, we'll worry about it then.

[dadmo]

Just make sure one of you is checking that lump for any change.

[3kidsinall]

Yep, will do & I'll come back on after the follow up & post what the results are. Thanks agian so much for all of your help & guidance!

[dadmo]

Happy checking . And certainly let us know how the next appointment goes.

[djmac]

Definitely stop taking the Cipro. It is a dangerous drug and side effects can include death. It should only be used to treat infections, and then only as a last resort.

If he continues taking the cipro, there are a few effects to watch out for including: anxiety, notably horrible nightmares, skin sensitivity to sunlight (severe sunburn after short exposure to sun for example), depression with thoughts of suicide, panic attacks, joint and tendon pain. Skin sensitivity, and suicidal thoughts are the potentially fatal ones. An additional one that can crop up even weeks after stopping the drug is colitis, also potentially fatal. Signs include persistent diarrhea and abdominal pain. Any of these symptoms should set off alarms.

I completed my course of cipro, but I had a bad interaction with caffeine (yet another potential side effect). That is what caused my anxiety, panic attacks, and extremely disturbing nightmares. The upside is that this experience helped me quit coffee!

[djmac]

By the way, the tendon damage from ciproflaxin may be permanent.

[Fed]

[...] there are a few effects to watch out for including: anxiety, notably horrible nightmares, skin sensitivity to sunlight (severe sunburn after short exposure to sun for example), depression with thoughts of suicide, panic attacks, joint and tendon pain.

Man, I knew ciprofloxacin is a nasty antibiotic, but I didn't know it was this nasty...