[Intratesticular calcifications: clinical significance].
OBJECTIVE
[corrected] To evaluate the clinical-pathological significance of the intratesticular calcification.


METHODS
We analyzed by scrotal U.S., transducer 6.5 Mhz, the patients that consulted about testicular painful, infertility or intrascrotal deformity. Biopsy was effectuated when detected size modification of testicles, and central or focal calcifications. Also was done the classics tumoral markers. We founds 16 patients with microlithiasis over 24 testicles with these pathology. Previous antecedents: infertility 6 cases, testicular devolvulations surgery 5c, bilateral orchidopexy 3c and unilateral epididymitis 2c. The calcifications was classified in: peripheric or central follow-up 26.4 months.


RESULTS
Associated pathology: a) Bilateral cryptorchidism: 4 testicles. b) Testicular tumors: 5 testicles. These tumors were biopsed: 3 seminomas, 1 embryonary carcinoma and 1 ca in situ. Both with negative biologic markers. The association with testicular tumor had an incidence of 20.83%. The central localization was detected in the 5 tumors, while the peripheric were 4 testis (cryptorchidism) and 15 with aspect of "snow storm". Histopathologically was observed eosinophilic bodies, with calcified nucleus, but not a exclusive features.


CONCLUSIONS
Is a benign condition, casual, whose clinical significance is a still enigma. The association with testicular tumor is 20.83% and associated pathology is 33%. We proposed a testicular biopsy in cases of microlithiasis focal, central or with previous pathology.
López Laur
J D
JD
Cátedra de Urología, Facultad de Ciencias Medicas, Universidad Nacional de Cuyo, Mendoza, Argentina.
Chiapetta Menéndez
J
J
Anchelerguez Moreno
R
R
Prats Roma
J
J
D002114:Calcinosis / Q000175:diagnosis*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013733:Testicular Diseases / Q000175:diagnosis*