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Testicular Microlithiasis

Prevalence and Tumor Risk in a Population Referred for Scrotal Sonography

James E. I. Cast1, William M. Nelson1, Alan S. Early1, Shekhar Biyani2, Graeme Cooksey2, Niall G. Warnock3 and David J. Breen1

1 Department of Radiology, Hull and East Yorkshire NHS Trust, Hull Royal Infirmary, Anlaby Rd., Hull HU3 2JZ, United Kingdom.
2 Department of Urology, Hull and East Yorkshire NHS Trust, Hull Royal Infirmary, Hull HU3 2JZ, United Kingdom.
3 Department of Radiology, York Health NHS Trust, York District Hospital, Wigginton Rd., York YO31 8HE, United Kingdom.



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Fig. 1. Testicular sonogram of 41-year-old man, who presented with scrotal lump, shows typical appearance of testicular microlithiasis with at least five microliths per sonogram. No other abnormality was seen.

 


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Fig. 2. Testicular sonogram of 33-year-old man, who presented with scrotal swelling, shows slightly coarser calcifications of up to 3 mm. Number of microliths is, however, in keeping with diagnosis of testicular microlithiasis. Swelling was epididymal cyst (not shown).

 


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Fig. 3. Testicular sonogram of 25-year-old man who presented with mass in left testis. Note testicular tumor showing coarse calcification with microlithiasis in surrounding testis.

 


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Fig. 4. Testicular sonogram of 37-year-old man, who presented with mediastinal teratoma in 1994, shows clustered microlithiasis centered around irregular 12-mm hypoechoic area (arrow) toward lower pole. Histology showed tubular atrophy but no evidence of neoplasia.

 

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