Testicular microlithiasis: prevalence and risk of concurrent and interval development of testicular tumor in a referred population
| Autor: | Nalagatla Sarath Krishna, Naels Al-Saffar, Robert Nairn, Ross Clark, Imran Ahmad |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Nephrology endocrine system medicine.medical_specialty Adolescent Urology Population Testicular Diseases Calculi symbols.namesake Testicular Neoplasms Risk Factors Internal medicine Prevalence medicine Humans education Referral and Consultation Pathological Fisher's exact test Aged Retrospective Studies Ultrasonography Aged 80 and over Gynecology education.field_of_study business.industry Incidence (epidemiology) Retrospective cohort study Seminoma Middle Aged medicine.disease symbols Radiology business Testicular microlithiasis |
| Zdroj: | International Urology and Nephrology. 39:1177-1181 |
| ISSN: | 1573-2584 0301-1623 |
| DOI: | 10.1007/s11255-007-9203-0 |
| Popis: | To identify prevalence of testicular microlithiasis on ultrasound in a referred population and risk of concurrent and interval testicular tumor development. Retrospective review of our radiology database revealed 4363 scrotal ultrasounds were performed over a six-year period. Ultrasound findings were correlated with our hospital pathological database. The association of intratesticular microlithiasis and confirmed testicular cancers were assessed by means of a Fisher exact test. Testicular microlithiasis was identified in 32 of the 4259 patients (0.75% of screened population). In the same time period 83 testicular tumors were identified on initial scanning (2.00% of screened population). Three patients with tumor had coexisting microlithiasis (9.4% incidence), whilst a further two had interval development of tumor. The follow-up of the microlithiasis patients ranged from 3 to 72 months (mean 33.9 months, median 40 months). Interval development of testicular tumor is a documented phenomenon. As the incidence in detection of microlithiasis increases secondary to advances in ultrasound technology, follow-up becomes financially prohibitive. We advocate regular self-examination as the primary follow-up of otherwise well patients with testicular microlithiasis. |
| Databáze: | OpenAIRE |
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