Incidental Discovery of Testicular Microlithiasis: What Is the Importance of Ultrasound Surveillance Two Case Reports
Many studies have demonstrated an association between diffuse bilateral testicular microlithiasis (TM) and gonadal and extragonadal germ cell tumors. Nevertheless, it is still uncertain whether ultrasound surveillance is really necessary in patients with TM in the absence of other risk factors such...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2013-10-01
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| Series: | Case Reports in Oncology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/356097 |
| _version_ | 1831749309892132864 |
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| author | F. Barchetti V. De Marco G. Barchetti E. Pasqualitto A. Sartori M. Glorioso S. Gigli V. Megna S. Montechiarello V. Boncore A. Stagnitti |
| author_facet | F. Barchetti V. De Marco G. Barchetti E. Pasqualitto A. Sartori M. Glorioso S. Gigli V. Megna S. Montechiarello V. Boncore A. Stagnitti |
| author_sort | F. Barchetti |
| collection | DOAJ |
| description | Many studies have demonstrated an association between diffuse bilateral testicular microlithiasis (TM) and gonadal and extragonadal germ cell tumors. Nevertheless, it is still uncertain whether ultrasound surveillance is really necessary in patients with TM in the absence of other risk factors such as previous testicular cancer, a history of cryptorchidism or testicular atrophy. We report the cases of a 33- and a 39-year-old man presenting with a retroperitoneal extragonadal tumor. The first patient underwent an MRI examination in order to rule out a lumbosacral hernia: MRI images showed no slipped disks but a voluminous retroperitoneal solid mass. The histological analysis revealed an immature teratoma. The second patient came to the emergency department complaining of abdominal pain, vomiting, weight loss and mild jaundice: ultrasound examination showed a large, ill-defined heterogeneous abdominal mass, confirmed by CT and MRI examination. The histology diagnosed a yolk sac tumor. In both patients, the testicular sonography was performed to rule out a focal lesion, but it displayed bilateral TM without a focal testicular mass. Based on our direct experience, we highlight the importance of annual ultrasonographic surveillance of the testis and the retroperitoneal space in patients with occasionally detected TM. |
| first_indexed | 2024-12-21T22:07:41Z |
| format | Article |
| id | doaj.art-f151ec8c8bae4d7ba33a99cb8e42b9cf |
| institution | Directory Open Access Journal |
| issn | 1662-6575 |
| language | English |
| last_indexed | 2024-12-21T22:07:41Z |
| publishDate | 2013-10-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Oncology |
| spelling | doaj.art-f151ec8c8bae4d7ba33a99cb8e42b9cf2022-12-21T18:48:40ZengKarger PublishersCase Reports in Oncology1662-65752013-10-016352052510.1159/000356097356097Incidental Discovery of Testicular Microlithiasis: What Is the Importance of Ultrasound Surveillance Two Case ReportsF. BarchettiV. De MarcoG. BarchettiE. PasqualittoA. SartoriM. GloriosoS. GigliV. MegnaS. MontechiarelloV. BoncoreA. StagnittiMany studies have demonstrated an association between diffuse bilateral testicular microlithiasis (TM) and gonadal and extragonadal germ cell tumors. Nevertheless, it is still uncertain whether ultrasound surveillance is really necessary in patients with TM in the absence of other risk factors such as previous testicular cancer, a history of cryptorchidism or testicular atrophy. We report the cases of a 33- and a 39-year-old man presenting with a retroperitoneal extragonadal tumor. The first patient underwent an MRI examination in order to rule out a lumbosacral hernia: MRI images showed no slipped disks but a voluminous retroperitoneal solid mass. The histological analysis revealed an immature teratoma. The second patient came to the emergency department complaining of abdominal pain, vomiting, weight loss and mild jaundice: ultrasound examination showed a large, ill-defined heterogeneous abdominal mass, confirmed by CT and MRI examination. The histology diagnosed a yolk sac tumor. In both patients, the testicular sonography was performed to rule out a focal lesion, but it displayed bilateral TM without a focal testicular mass. Based on our direct experience, we highlight the importance of annual ultrasonographic surveillance of the testis and the retroperitoneal space in patients with occasionally detected TM.http://www.karger.com/Article/FullText/356097Germ cell tumorsTesticular ultrasoundTesticular microlithiasis |
| spellingShingle | F. Barchetti V. De Marco G. Barchetti E. Pasqualitto A. Sartori M. Glorioso S. Gigli V. Megna S. Montechiarello V. Boncore A. Stagnitti Incidental Discovery of Testicular Microlithiasis: What Is the Importance of Ultrasound Surveillance Two Case Reports Case Reports in Oncology Germ cell tumors Testicular ultrasound Testicular microlithiasis |
| title | Incidental Discovery of Testicular Microlithiasis: What Is the Importance of Ultrasound Surveillance Two Case Reports |
| title_full | Incidental Discovery of Testicular Microlithiasis: What Is the Importance of Ultrasound Surveillance Two Case Reports |
| title_fullStr | Incidental Discovery of Testicular Microlithiasis: What Is the Importance of Ultrasound Surveillance Two Case Reports |
| title_full_unstemmed | Incidental Discovery of Testicular Microlithiasis: What Is the Importance of Ultrasound Surveillance Two Case Reports |
| title_short | Incidental Discovery of Testicular Microlithiasis: What Is the Importance of Ultrasound Surveillance Two Case Reports |
| title_sort | incidental discovery of testicular microlithiasis what is the importance of ultrasound surveillance two case reports |
| topic | Germ cell tumors Testicular ultrasound Testicular microlithiasis |
| url | http://www.karger.com/Article/FullText/356097 |
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