Microlitiasis testiculares en la edad pediátrica

Abstract

AimTo evaluate the ecographic patterns of testicular microlithiasis (TM) in paediatric age, its associations, clinical implications and how to manage them. Material and methodsMaterial and methods: We study four children between 11 and 13 years old with testicular microlithiasis. The ecographic study is realized with a 7.5 Mhz linear probe. ResultsTwo of the cases present bilateral microlithiasis. In five of the testicles, the presentation fits the pattern of classic testicular micro-lithiasis (CTM) (≥?5 echogenic foci per transducer field) and one testicle presents limited testicular microlithiasis (< 5 echogenic foci per transducer field). Distribution in the case of CTM is diffuse in two testes, peripheral in another two testicles and central in one of them. In one of the bilateral presentations, a biopsy of both testes is performed, observing intratubular calcification in both. None of them has developed a tumor during the follow-up period, which ranges from nine months to four years. ConclusionsTM have a characteristic echographic appearance. In the absence of focal lesions, they must undergo echographic and clinical control. Neither tumor marker assessment nor biopsy is necessary.