title: Unilateral testicular microlithiasis associated with a seminoma.
abstract: Unilateral testicular microlithiasis is an uncommon entity that is important because of its association with malignancy. We describe a case in which the initial clinical presentation was that of metastatic cervical lymphadenopathy. Subsequent sonographic examination of the testes revealed right testicular microlithiasis and a small, hypoechoic, ill-defined mass, which proved to be a seminoma. Since testicular microlithiasis is highly associated with testicular malignancy, it cannot be considered a benign condition. Sonographic follow-up examinations are warranted in patients with testicular microlithiasis to detect the possible development of malignancy.
authors.affiliation: Department of Radiology, Ohio State University Medical Center, Columbus 43210, USA.
authors.forename: T G
authors.initials: TG
authors.lastname: Vrachliotis
authors.forename: D E
authors.initials: DE
authors.lastname: Neal
mesh_terms: D000328:Adult; D002137:Calculi / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008198:Lymph Nodes / Q000000981:diagnostic imaging / Q000473:pathology; D008207:Lymphatic Metastasis / Q000000981:diagnostic imaging; D008297:Male; D009333:Neck; D009919:Orchiectomy; D018239:Seminoma / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D013733:Testicular Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D013736:Testicular Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography