title: [Testicular microlithiasis and testicular cancer].
abstract: OBJECTIVE
  To check the possible relationship between testicular microlithiasis and testicular carcinoma in a patient in the one which previously we discovered a sonographic image of this condition. The etiopathogenesis, incidence and attitude are discussed.
  
  
  METHODS
  A 23-year-old male with a psychomotor retardation secondary to a chromosomopathy presented with orchitis. Scrotal ultrasound discovered testicular microlithiasis, described as many hyperechoic images. Thirteen months later a testicular cancer was found in a new ultrasound. Radical orchiectomy was performed. Currently the patient is under intense follow-up.
  
  
  RESULTS
  The histopathological study showed mature teratoma and intratubular germ cell neoplasm.
  
  
  CONCLUSIONS
  The testicular microlithiasis has been related with benign and malignant testicular pathology. However, this presence it is not sufficiently clarified and the urologist's attitude to a patient with testicular microlithiasis but asymptomatic is not enough studied.
authors.affiliation: Servicio de Urología, Hospital Universitario Virgen de las Nieves, Granada, España. mortig@fundacionhvn.org
authors.forename: Manuel Angel
authors.initials: MA
authors.lastname: Ortiz Gorraiz
authors.forename: Soledad
authors.initials: S
authors.lastname: Buitrago Sivianes
authors.forename: Francisco
authors.initials: F
authors.lastname: Rodríguez Herrera
authors.forename: José Luis
authors.initials: JL
authors.lastname: Rosales Leal
authors.forename: Antonio
authors.initials: A
authors.lastname: Martínez Morcillo
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Vicente Prados
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Cózar Olmo
authors.forename: Eduardo
authors.initials: E
authors.lastname: Espejo Maldonado
authors.forename: Miguel
authors.initials: M
authors.lastname: Tallada Buñuel
authors.forename: Sonia
authors.initials: S
authors.lastname: Zilbermann
authors.forename: Antonio
authors.initials: A
authors.lastname: Medina
mesh_terms: D000328:Adult; D003410:Cri-du-Chat Syndrome / Q000150:complications; D004823:Epididymitis / Q000209:etiology; D006801:Humans; D020347:Lithiasis / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D009920:Orchitis / Q000209:etiology; D013724:Teratoma / Q000150:complications* / Q000000981:diagnostic imaging; D013733:Testicular Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D013736:Testicular Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D014463:Ultrasonography