[Testicular microlithiasis and testicular cancer]. 2003

Manuel Angel Ortiz Gorraiz, and Soledad Buitrago Sivianes, and Francisco Rodríguez Herrera, and José Luis Rosales Leal, and Antonio Martínez Morcillo, and Francisco Javier Vicente Prados, and José Manuel Cózar Olmo, and Eduardo Espejo Maldonado, and Miguel Tallada Buñuel, and Sonia Zilbermann, and Antonio Medina
Servicio de Urología, Hospital Universitario Virgen de las Nieves, Granada, España. mortig@fundacionhvn.org

OBJECTIVE To check the possible relationship between testicular microlithiasis and testicular carcinoma in a patient in the one which previously we discovered a sonographic image of this condition. The etiopathogenesis, incidence and attitude are discussed. METHODS A 23-year-old male with a psychomotor retardation secondary to a chromosomopathy presented with orchitis. Scrotal ultrasound discovered testicular microlithiasis, described as many hyperechoic images. Thirteen months later a testicular cancer was found in a new ultrasound. Radical orchiectomy was performed. Currently the patient is under intense follow-up. RESULTS The histopathological study showed mature teratoma and intratubular germ cell neoplasm. CONCLUSIONS The testicular microlithiasis has been related with benign and malignant testicular pathology. However, this presence it is not sufficiently clarified and the urologist's attitude to a patient with testicular microlithiasis but asymptomatic is not enough studied.

UI MeSH Term Description Entries
D008297 Male Males
D009920 Orchitis Inflammation of a TESTIS. It has many features of EPIDIDYMITIS, such as swollen SCROTUM; PAIN; PYURIA; and FEVER. It is usually related to infections in the URINARY TRACT, which likely spread to the EPIDIDYMIS and then the TESTIS through either the VAS DEFERENS or the lymphatics of the SPERMATIC CORD. Orchitides
D003410 Cri-du-Chat Syndrome An infantile syndrome characterized by a cat-like cry, failure to thrive, microcephaly, MENTAL RETARDATION, spastic quadriparesis, micro- and retrognathia, glossoptosis, bilateral epicanthus, hypertelorism, and tiny external genitalia. It is caused by a deletion of the short arm of chromosome 5 (5p-). 5p Deletion Syndrome,Chromosome 5p- Syndrome,5p Minus Syndrome,5p- Syndrome,Cat Cry Syndrome,Chromosome 5 Short Arm Deletion Syndrome,Chromosome 5p Deletion Syndrome,Crying Cat Syndrome,Deletion of Short Arm of Chromosome 5 Syndrome,5p Deletion Syndromes,5p Minus Syndromes,5p Syndrome,5p- Syndrome, Chromosome,5p- Syndromes,5p- Syndromes, Chromosome,Cat Cry Syndromes,Chromosome 5p- Syndromes,Cri du Chat Syndrome,Cri-du-Chat Syndromes,Crying Cat Syndromes,Deletion Syndrome, 5p,Deletion Syndromes, 5p,Minus Syndrome, 5p,Minus Syndromes, 5p,Syndrome, 5p Deletion,Syndrome, 5p Minus,Syndrome, 5p-,Syndrome, Cat Cry,Syndrome, Chromosome 5p-,Syndrome, Cri-du-Chat,Syndrome, Crying Cat,Syndromes, 5p Deletion,Syndromes, 5p Minus,Syndromes, Cat Cry,Syndromes, Chromosome 5p-,Syndromes, Cri-du-Chat,Syndromes, Crying Cat
D004823 Epididymitis Inflammation of the EPIDIDYMIS. Its clinical features include enlarged epididymis, a swollen SCROTUM; PAIN; PYURIA; and FEVER. It is usually related to infections in the URINARY TRACT, which likely spread to the EPIDIDYMIS through either the VAS DEFERENS or the lymphatics of the SPERMATIC CORD. Epididymitides
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013724 Teratoma A true neoplasm composed of a number of different types of tissue, none of which is native to the area in which it occurs. It is composed of tissues that are derived from three germinal layers, the endoderm, mesoderm, and ectoderm. They are classified histologically as mature (benign) or immature (malignant). (From DeVita Jr et al., Cancer: Principles & Practice of Oncology, 3d ed, p1642) Dysembryoma,Teratoid Tumor,Teratoma, Cystic,Teratoma, Mature,Teratoma, Benign,Teratoma, Immature,Teratoma, Malignant,Benign Teratoma,Benign Teratomas,Dysembryomas,Immature Teratoma,Immature Teratomas,Malignant Teratoma,Malignant Teratomas,Teratoid Tumors,Teratomas,Teratomas, Benign,Teratomas, Immature,Teratomas, Malignant,Tumor, Teratoid,Tumors, Teratoid
D013733 Testicular Diseases Pathological processes of the TESTIS. Disease, Testicular,Diseases, Testicular,Testicular Disease
D013736 Testicular Neoplasms Tumors or cancer of the TESTIS. Germ cell tumors (GERMINOMA) of the testis constitute 95% of all testicular neoplasms. Cancer of Testis,Cancer of the Testes,Testicular Cancer,Testicular Neoplasm,Testicular Tumor,Testis Cancer,Cancer of the Testis,Neoplasms, Testicular,Neoplasms, Testis,Testicular Tumors,Testis Neoplasms,Tumor of Rete Testis,Cancer, Testicular,Cancer, Testis,Cancers, Testicular,Cancers, Testis,Neoplasm, Testicular,Neoplasm, Testis,Rete Testis Tumor,Rete Testis Tumors,Testicular Cancers,Testis Cancers,Testis Neoplasm,Testis Tumor, Rete,Testis Tumors, Rete,Tumor, Testicular,Tumors, Testicular
D014463 Ultrasonography The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz. Echography,Echotomography,Echotomography, Computer,Sonography, Medical,Tomography, Ultrasonic,Ultrasonic Diagnosis,Ultrasonic Imaging,Ultrasonographic Imaging,Computer Echotomography,Diagnosis, Ultrasonic,Diagnostic Ultrasound,Ultrasonic Tomography,Ultrasound Imaging,Diagnoses, Ultrasonic,Diagnostic Ultrasounds,Imaging, Ultrasonic,Imaging, Ultrasonographic,Imaging, Ultrasound,Imagings, Ultrasonographic,Imagings, Ultrasound,Medical Sonography,Ultrasonic Diagnoses,Ultrasonographic Imagings,Ultrasound, Diagnostic,Ultrasounds, Diagnostic

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