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    Go to the top of the page   ID: 20030222173416 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    | The Authors | Discussion | Write a Comment to this Case |
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    Testicular microlithiasis
    Dirk Schaper, V Hofmann. Testicular microlithiasis. PedRad [serial online] vol 3, no. 2.
    URL: www.PedRad.info/?search=20030222173416


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper, V. Hofmann (Halle/S.)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    19 Months  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Pelvis-Testis  

     
     Pediatric Radiology CasesMost likely etiology:

    unknown  

     
     Pediatric Radiology CasesHistory:

    1 7/12 year-old boy, findings after hydrocele resection (at 2.5 months) because of monstrous hydrocele on both sides. Ultrasound due to reoccuring hydrocele on the right side and testicular raising on the left.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Hypothesis: testicular microlithiasis as a result of a multifocal sartoli-cell dysfunction.  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: multiple echogenic, in both testes diffusely distributed focuses without acoustic shadows. Circa 1 mm large focus (like snow flurries). Colored doppler sonography was inconspicuous.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Total constellation (Consens)  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    N/A  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Testicular microlithiasis (TM) is a rare, most bilateral finding in ultrasound in boys and men. The increasing frequency in sonographic examinations of the testicles and the better ultrasound machines allow the diagnosis to be made more often. The incidence is given at 1.7 - 1.9%.
    Noticeable is the combination of TM with other illnesses of the male genitalia (hydrocele, varicocele, epididymitis, testicular atrophy and germ cell tumor). A link between TM and tumor development cannot be surely proven at this point. Yearly sonographic examinations and follow-up examinations of the tumor factors are recommended. A biopsy can be made in cases with a focal parenchymal lesion.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    Priebe CJ, Garret R (1970) Testicular calcifications in a 4-year-old boy. Pediatrics 46: 785-788  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    DellÀcqua A, Toma P, Oddone M, Ciccone MA, Marsili E, Derchi LE
    Testicular microlithiasis: US findings in six pediatric cases and literature review.
    Eur Radiol 1999;9(5):940-4

    2. Medline: Medline
    Otite U, Webb JA, Oliver RT, Badenoch DF, Nargund VH.
    Testicular microlithiasis: is it a benign condition with malignant potential?
    Eur Urol 2001 Nov;40(5):538-42

    3. Medline: Medline
    Furness PD 3rd, Husmann DA, Brock JW 3rd, Steinhardt GF, Bukowski TP, Freedman AL, Silver RI, Cheng EY.
    Multi-institutional study of testicular microlithiasis in childhood: a benign or premalignant condition?
    J Urol 1998 Sep;160(3 Pt 2):1151-4
     

     
     Pediatric Radiology CasesKeywords:

    Testes, microlithiasis, Testicular microlithiasis, hydrocele resection, sartoli cell dysfunction, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper, V Hofmann. Testicular microlithiasis. PedRad [serial online] vol 3, no. 2.
    URL: www.PedRad.info/?search=20030222173416  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Pelvis-Testis
    or in the region: Pelvis
    or in the tissue/organ: Testis
    or with the etiology: unknown
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     
    Testicular microlithiasis
    Dirk Schaper, V Hofmann. Testicular microlithiasis. PedRad [serial online] vol 3, no. 2.
    URL: www.PedRad.info/?search=20030222173416


     

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    Testicular microlithiasis
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   
    Search V. Hofmann in Medline V. Hofmann (17)   

    Testicular microlithiasis  
     
    Testicular microlithiasis
    Dirk Schaper, V Hofmann. Testicular microlithiasis. PedRad [serial online] vol 3, no. 2.
    URL: www.PedRad.info/?search=20030222173416


     

    Which diagnosis have other collegues guessed?


    • Testicular microlithiasis
      Votes: 17 (60 %)


    • Orchitis
      Votes: 3 (10 %)


    • Leukemic testicular infestation
      Votes: 3 (10 %)


    • Disseminated Sartoli-cell tumor.
      Votes: 5 (17 %)



        Total answers: 28

     
    Testicular microlithiasis
    Dirk Schaper, V Hofmann. Testicular microlithiasis. PedRad [serial online] vol 3, no. 2.
    URL: www.PedRad.info/?search=20030222173416


     

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    Testicular microlithiasis
    Dirk Schaper, V Hofmann. Testicular microlithiasis. PedRad [serial online] vol 3, no. 2.
    URL: www.PedRad.info/?search=20030222173416


     




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