Testicular Microlithiasis in the Setting of Primary Extragonadal Germ Cell Tumor: A Case Series.
The clinical significance of testicular microlithiasis (TM) in patients with primary extragonadal germ cell tumor (EGCT) is not well understood. When EGCT is suspected, sonographic and physical examination of the testicles should be performed to evaluate for testicular lesion or atrophy; negative testicular ultrasound with current technology virtually excludes the possibility of occult primary lesion. Although EGCTs are known to be associated with elevated level of serum tumor markers, the utility of tumor markers in the presence of TM is not well understood. Current guidelines for TM follow-up and management do not include any potential correlation between TM and primary EGCT, an association that should be addressed on future updates.
*Department of Imaging Sciences and †Department of Pathology and Laboratory Medicine, University of Rochester Medical Center School of Medicine and Dentistry, Rochester, NY.
Joel P
JP
Thompson
Jerome
J
Jean-Gilles
Vikram
V
Dogra
D002137:Calculi / Q000150:complications* / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009373:Neoplasms, Germ Cell and Embryonal / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy; D000072078:Positron Emission Tomography Computed Tomography; D013733:Testicular Diseases / Q000150:complications* / Q000000981:diagnostic imaging*; D013736:Testicular Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy; D013737:Testis / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography