Sonographically detected testicular microlithiasis and testicular carcinoma.
Testicular microlithiasis is an uncommon abnormality that produces the characteristic sonographic appearance of diffuse, punctate, hyperechoic foci throughout the testicular parenchyma. We have detected this distinctive sonographic pattern in 4 patients during a seven-year period. Three of the patients had proven concurrent testicular carcinoma. We describe our experience and review previous reports of testicular microlithiasis. We conclude that testicular microlithiasis may be associated with testicular neoplasia, and advocate particularly careful evaluation and follow-up of the testes when this abnormality is detected.
Patel
M D
MD
Department of Radiology, University of California, San Francisco.
Olcott
E W
EW
Kerschmann
R L
RL
Callen
P W
PW
Gooding
G A
GA
D000328:Adult; D002137:Calculi / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D004407:Dysgerminoma / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D009373:Neoplasms, Germ Cell and Embryonal / Q000150:complications / Q000000981:diagnostic imaging; D013733:Testicular Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D013736:Testicular Neoplasms / Q000150:complications / Q000000981:diagnostic imaging*; D014463:Ultrasonography