Purpose: We determined the characteristics of testicular adenomatoid t
umors which could distinguish these lesions from testicular malignanci
es. Materials and Methods: Clinical presentation and ultrasonographic
findings in 3 men with testicular adenomatoid tumors were compared wit
h those in 10 men treated for testicular malignancies. Results: Clinic
al presentation was similar for all patients. Of the 3 adenomatoid tum
ors 2 appeared isoechoic on ultrasound and 1 appeared normal. None of
the 10 cancers appeared isoechoic or normal on ultrasound. Conclusions
: Small tumors that appear isoechoic on ultrasound should be biopsied
through an inguinal incision with frozen section assessment rather tha
n immediate radical orchiectomy.