Sonography and CT in staging nonseminomatous testicular tumors

Journal Article · Wed May 01 04:00:00 EDT 1985 · AJR, Am. J. Roentgenol.; (United States)

DOI:https://doi.org/10.2214/ajr.144.5.939· OSTI ID:5728133

Poskitt, K J; Cooperberg, P L; Sullivan, L D

The usefulness of sonography and computed tomography (CT) in the clinical staging of nonseminomatous testes tumors was examined by retrospectively reviewing the clinical staging of 57 patients. Twenty-five patients had sonographic examinations; two were considered inadequate and there were no false-positive results. CT was performed on 29 patients; no patients were overstaged and only one examination was inadequate due to technical reasons. A subgroup of 18 patients having both sonography and CT was examined, and each staging procedure had a 22% false-negative and a 0 false-positive rate. On the basis of these results, sonography and CT are equivalent and superior examinations that have a high degree of accuracy (90%) in predicting bulky metastatic disease, either stage B/sub 3/ or C disease. All patients would have received appropriate therapy if both examinations were carried out. However, this same goal could have been achieved with greater cost efficiency by initial sonographic screening, followed by CT in only those patients with negative or inadequate sonographic examinations.

• Research Organization: Univ. of British Columbia, Vancouver
• OSTI ID: 5728133
• Journal Information: AJR, Am. J. Roentgenol.; (United States), Journal Name: AJR, Am. J. Roentgenol.; (United States) Vol. 144:5; ISSN AAJRD
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
BODY
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DISEASES
GONADS
MALE GENITALS
NEOPLASMS
ORGANS
PATIENTS
TESTES
TOMOGRAPHY
ULTRASONOGRAPHY