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Is There an Increased Incidence of Contralateral Testicular Cancer in Patients with Intratesticular Microlithiasis?

Ariadne M. Bach1, Lucy E. Hann1, Weiji Shi2, Catherine S. Giess1,3, Hyok-Hee Yoo1, Joel Sheinfeld4 and Howard T. Thaler2

1 Departments of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Ave., New York, NY 10021.
2 Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.
3 Present address: Women's Diagnostic and Wellness Center, Nyack Hospital, 160 N. Midland Ave., Nyack, NY 10960.
4 Department of Urology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.



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  		Fig. 1. —31-year-old man with seminoma. Transverse sonogram of left testis reveals mass in presence of microlithiasis. Patient had undergone right orchiectomy for seminoma 6 years and 5 months earlier. At pathology left testis contained seminoma.

 


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  		Fig. 2. —39-year-old man with seminoma. Transverse sonogram of left testis shows solid mass and no microlithiasis. At surgery seminoma was found. Seven years 4 months earlier, patient had undergone right orchiectomy for seminoma.

 


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  		Fig. 3. —39-year-old man with non-seminomatous germ cell tumor. Longitudinal sonogram of left testis shows heterogeneous changes. This has been stable for 8 years after initial sonogram.

 

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