Dirk Schaper, V. Hofmann (Halle/S.)  

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19 Months  

Male  

Pelvis-Testis  

unknown  

1 7/12 year-old boy, findings after hydrocele resection (at 2.5 months) because of monstrous hydrocele on both sides. Ultrasound due to reoccuring hydrocele on the right side and testicular raising on the left.  

Hypothesis: testicular microlithiasis as a result of a multifocal sartoli-cell dysfunction.  

<- view Ultrasound 1

Ultrasound 1: multiple echogenic, in both testes diffusely distributed focuses without acoustic shadows. Circa 1 mm large focus (like snow flurries). Colored doppler sonography was inconspicuous.

 

Total constellation (Consens)  

N/A  

Testicular microlithiasis (TM) is a rare, most bilateral finding in ultrasound in boys and men. The increasing frequency in sonographic examinations of the testicles and the better ultrasound machines allow the diagnosis to be made more often. The incidence is given at 1.7 - 1.9%.
Noticeable is the combination of TM with other illnesses of the male genitalia (hydrocele, varicocele, epididymitis, testicular atrophy and germ cell tumor). A link between TM and tumor development cannot be surely proven at this point. Yearly sonographic examinations and follow-up examinations of the tumor factors are recommended. A biopsy can be made in cases with a focal parenchymal lesion.  

N/A  

Priebe CJ, Garret R (1970) Testicular calcifications in a 4-year-old boy. Pediatrics 46: 785-788  

1. Medline:
DellÀcqua A, Toma P, Oddone M, Ciccone MA, Marsili E, Derchi LE
Testicular microlithiasis: US findings in six pediatric cases and literature review.
Eur Radiol 1999;9(5):940-4

2. Medline:
Otite U, Webb JA, Oliver RT, Badenoch DF, Nargund VH.
Testicular microlithiasis: is it a benign condition with malignant potential?
Eur Urol 2001 Nov;40(5):538-42

3. Medline:
Furness PD 3rd, Husmann DA, Brock JW 3rd, Steinhardt GF, Bukowski TP, Freedman AL, Silver RI, Cheng EY.
Multi-institutional study of testicular microlithiasis in childhood: a benign or premalignant condition?
J Urol 1998 Sep;160(3 Pt 2):1151-4
 

Testes, microlithiasis, Testicular microlithiasis, hydrocele resection, sartoli cell dysfunction, child, childhood, pediatric radiology  

Dirk Schaper, V Hofmann. Testicular microlithiasis. PedRad [serial online] vol 3, no. 2.
URL: www.PedRad.info/?search=20030222173416