Abstract
Testicular microlithiasis is an uncommon entity among adult males, resulting from tubular calcification. Reported incidence of testicular microlithiasis has been highly variable in the past decade due to increasing frequency of ultrasound examination of scrotal and testicular conditions. Testicular microlithiasis is associated with many benign and malignant conditions of testes. It is believed that in patients with Testicular microlithiasis conservative approach is warranted in absence of high risk factors, like contralateral testicular tumors, chromosomal anomalies and gonadal dysgenesis.Bangladesh Journal of Medical Science Vol.16(1) 2017 p.178-180
Highlights
Testicular microlithiasis is a rare condition recognized by a sonographic pattern of multiple small foci of increased echogenicity measuring 1-3mm in diameter, randomly distributed throughout the testicular parenchyma, in which calcium deposits have been formed into the lumen of seminiferous tubules or have arisen from the tubular basement membrane components[1]
Testicular Germ cell tumor is the most frequent malignant condition found in testicular microlithiasis, with the increasing frequency of ultrasound examination in scrotal and testicular conditions and with advent of high frequency transducers Testicular microlithiasis is increasingly being reported
On examination no abnormality was detected with external genitalia,penis and both testes were normal and secondary sexual characteristics well developed and routine investigations like blood sugar and kidney function tests were within normal limits
Summary
Testicular microlithiasis is a rare condition recognized by a sonographic pattern of multiple small foci of increased echogenicity measuring 1-3mm in diameter, randomly distributed throughout the testicular parenchyma, in which calcium deposits have been formed into the lumen of seminiferous tubules or have arisen from the tubular basement membrane components[1]. Testicular microlithiasis is Grade I when 5 – 10 microliths/image are seen, Grade II when 10 – 20 microliths/image, and grade III >20 microliths are visualized on ultrasound. Testicular microlithiasis is associated with many benign conditions like varicocele, testicular torsion, epididymitis and crytorchidism. Testicular Germ cell tumor is the most frequent malignant condition found in testicular microlithiasis, with the increasing frequency of ultrasound examination in scrotal and testicular conditions and with advent of high frequency transducers Testicular microlithiasis is increasingly being reported.
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