Re: germ cell tumor in an adolescent with extensive testicular microlithiasis: concerns regarding future management, and re: clinical aspects of testicular microlithiasis in boys: a review.
نویسنده
چکیده
OBJECTIVE After review of the pediatric literature, we report on the prevalence of testicular microlithiasis and its relation with benign and malign entities. We provide a guideline for the management of boys with testicular microlithiasis. MATERIALS AND METHODS The databases searched were Medline, Web of Science, Embase and the Cochrane Library. Data on the rates of testicular microlithiasis were collected and from each study information was extracted on the study population according to country, study design, diagnostic method, type of patient, number of patients, age, associated anomalies, additional diagnostic methods and follow-up information. From the 472 articles, we selected 126 articles as potentially relevant, of which 57 were included. RESULTS In asymptomatic boys, the prevalence of testicular microlithiasis is 4.2% and in symptomatic referrals it is 1.6%. The development of a testicular malignancy is occasionally reported after diagnosis of testicular microlithiasis. The management of boys with testicular microlithiasis varies widely. Most authors recommend regular self-examination, and some perform testicular ultrasound and/or screen tumor markers. CONCLUSION The prevalence of testicular microlithiasis in boys varies between 1.1% and 4.2%. For follow-up, regular self-examination is advised from the age of 15 years.
منابع مشابه
گزارش یک مورد میکرولیتیازیس بیضه و کریپتورکدیسم
Testicular microlithiasis (TM) is an uncommon condition with reported prevalence of 0.6% in patients referred for scrotal ultrasound. Testicular microlithiasis was first reported by Priebe and Garret in 1970 and defined as multiple tiny calcification throughout the testis. The condition appears as characterstic small nonshadowing hyperechoic stippling foci in testicular parenchyma. Several as...
متن کامل[Importance of microlithiasis in testicular germ cell tumor ultrasound].
INTRODUCTION Testicular microlithiasis (TM) is an infrequent finding in testicular ultrasound and its clinical importance has not been completely defined. We analyzed the ultrasounds of patients with testicular germ cell tumors in order to analyze the correlation between TM, histological findings and clinical variables. METHODS AND MATERIALS Fifty-seven patients with germ cell tumors and radi...
متن کاملTesticular microlithiasis heralding mixed germ cell tumor of the testis in a boy.
The clinical implications of the association between testicular microlithiasis (TM) and germ cell tumor (GCT) of the testis are still debated since the natural history of incidentally discovered TM has not been defined. Therefore, it is questionable whether TM can be considered as a precursor of malignancy. We are reporting the case of a 9-yr-old boy with a mixed GCT who had presented 3 yr earl...
متن کاملPartial Orchiectomy for the Treatment of a Benign Sclerosing Sertoli Cell Tumor: A Report of a Rare Tumor in Association With Testicular Microlithiasis
The diagnosis of a testicular sclerosing Sertoli cell tumor is rare. Approximately 17 cases have been previously described in the literature worldwide. We present a case and review the evaluation and surgical management of a sclerosing Sertoli cell tumor presenting in a 26 year-old African-American adult, in association with testicular microlithiasis and oligospermia. Imaging techniques and the...
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ورودعنوان ژورنال:
- The Journal of urology
دوره 191 6 شماره
صفحات -
تاریخ انتشار 2012