[Testicular microlithiasis and testicular cancer].
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.
Ortiz Gorraiz
Manuel Angel
MA
Servicio de Urología, Hospital Universitario Virgen de las Nieves, Granada, España. mortig@fundacionhvn.org
Buitrago Sivianes
Soledad
S
Rodríguez Herrera
Francisco
F
Rosales Leal
José Luis
JL
Martínez Morcillo
Antonio
A
Vicente Prados
Francisco Javier
FJ
Cózar Olmo
José Manuel
JM
Espejo Maldonado
Eduardo
E
Tallada Buñuel
Miguel
M
Zilbermann
Sonia
S
Medina
Antonio
A
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