ArticleJournal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine2026
Multiparametric Ultrasound Findings of Testicular Sarcoidosis.
Article in Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Comment on "Multiparametric Ultrasound Findings of Testicular Sarcoidosis".Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026Article
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6 authors.
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Abstract
objectivesTo characterize the multiparametric ultrasound (MPUS) features of testicular sarcoidosis, incorporating greyscale, color Doppler ultrasound (CDUS), contrast-enhanced ultrasound (CEUS), and strain elastography (SE), and to assess their collective diagnostic value.
methodsA retrospective review of our institutional ultrasound database identified patients with testicular lesions and a confirmed diagnosis of sarcoidosis (via histopathology or established clinical criteria) between May 2009 and June 2025. All patients underwent a standardized scrotal MPUS protocol. Lesion characteristics on greyscale, vascularity on CDUS and CEUS, and tissue stiffness on SE were systematically analyzed.
resultsSeventeen patients (mean age: 42.1 ± 12.4 years) were included. The MPUS pattern was consistent. On grayscale, all lesions were small, solid (mean largest diameter: 4.3 ± 1.8 mm), hypoechoic, and well-defined. Lesions were multifocal (76.5%) and bilateral (52.9%). CDUS showed absent (47.1%) or low (35.3%) internal vascularity. CEUS demonstrated no enhancement in 62.5% of lesions. SE indicated intermediate (53.3%) or soft (26.7%) tissue elasticity. Follow-up ultrasound demonstrated temporal stability in 76.5% of lesions.
conclusionTesticular sarcoidosis exhibited a suggestive MPUS signature characterized by small, hypoechoic, solid, hypovascular, and stable lesions, often with soft or intermediate elasticity. Recognition of this pattern in the appropriate clinical context can strongly suggest this rare benign diagnosis, guiding conservative management and preventing unnecessary orchidectomy.
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