Surveillance of Testicular Microlithiasis?: Results of an Uk-Based National Questionnaire Survey

Testicular microlithiasis (TM) has been associated with testicular germ cell tumours (TGCTs) in adolescents and adults and with its precursor carcinoma in situ (CIS). A clear definition of TM and the need for further diagnostics and follow-up is lacking. We reviewed the literature of TM and its association with TGCT/CIS and current follow-up advises and propose a management approach based on associated risk factors for TGCT. In the literature, a wide variance of TM incidence is reported in different patient populations. A consensus concerning the malignant potential of TM has not been reached. In addition, a clear definition on TM is lacking. Although a correlation between TM and TGCT or CIS is found, precise management and follow-up schedules are absent. We suggest that all hyperechogenic foci smaller than 3 mm without shadowing should be named TM irrespective of their number. In addition, we suggest a management scheme for physicians encountering TM in daily practice. Our algorithm suggests taking a testicular biopsy in a selected patient population with at least one additional risk factor for TGCT. A long-term active follow-up schedule, including ultrasonography and physical examinations, is not indicated in the remaining patients with TM.

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“…A large survey of British Urologists showed that one‐third of them performed follow‐up of men with TM (Ravichandran et al. , 2006).…”

Section: Follow‐upmentioning

confidence: 99%

Testicular microlithiasis and carcinomain situoverview and proposed clinical guideline

2009

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“…A lack of consensus exists regarding the preferred followup of microlithiasis in patients without a concurrent neoplasm, and thus many differing recommendations can be found in the literature and in practice [10]. Most authors agree that at least an annual physical examination and scrotal sonography are prudent.…”

Section: Solution To Practice Questionmentioning

confidence: 99%

Sonography of the Scrotum: Case-Based Review

Stengel

Remer

2008

American Journal of Roentgenology

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Surveillance of Testicular Microlithiasis?: Results of an Uk-Based National Questionnaire Survey

Abstract: Background: The association of testicular microlithiasis with testicular tumour and the need for follow-up remain largely unclear.

Cited by 2 publications

References 12 publications

Testicular microlithiasis and carcinomain situoverview and proposed clinical guideline

Testicular microlithiasis and carcinomain situoverview and proposed clinical guideline

Sonography of the Scrotum: Case-Based Review

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