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KMID : 0356420020200030148
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Journal of Korean Andrology
2002 Volume.20 No. 3 p.148 ~ p.152
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Testicular Microlithiasis：Clinical Features in 18 Cases
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Cho Sung -Hyun
Ahn Sang-Seog
Kim Jong-Yeon
Lee Sang-Kon
Hwang Woo-Cheol
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Abstract
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rpose: Testicular microlithiasis(TM) is an uncommon benign condition characterized by calcium deposits in the lumen of the seminiferous tubules. It may be associated with testicular malignancies and infertility.
Materials and Methods: We performed a retrospective review of clinical charts and scrotal ultrasound findings of 18 patients who were found to have TM. Scrotal ultrasound scans were performed using 5- to 10-mHz high-resolution transducers. The indication for ultrasonography was an abnormal scrotal examination.
Results: The mean age at presentation was 39.9 years(range 14 to 70 years). Most(15; 83.3%) of the patients had bilateral TM. There were no differences in the sonographic patterns and appearance according to patient age. A third of the patients(7; 38.9%) had benign epididymal lesions. Two with bilateral TM had unilateral testicular malignancy. A varicocele was identified in two men, who demonstrated normal semen parameters. A 16-year-old boy showed no interval sonographic changes at 1-year follow-up.
Conclusions: Testicular microlithiasis usually affects both testes. The association between TM and progression of cancer is unclear.
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KEYWORD
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Microlithiasis, Testis
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