Ortiz Gorraiz Manuel Angel, Buitrago Sivianes Soledad, Rodríguez Herrera Francisco, Rosales Leal José Luis, Martínez Morcillo Antonio, Vicente Prados Francisco Javier, Cózar Olmo José Manuel, Espejo Maldonado Eduardo, Tallada Buñuel Miguel, Zilbermann Sonia, Medina Antonio
Servicio de Urología, Hospital Universitario Virgen de las Nieves, Granada, España.
Arch Esp Urol. 2003 Jun;56(5):521-4.
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.
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.
The histopathological study showed mature teratoma and intratubular germ cell neoplasm.
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.
在一名先前超声检查发现存在睾丸微结石症的患者中，探究睾丸微结石症与睾丸癌之间可能存在的关系。同时对其病因、发病率及处理方式进行讨论。
一名23岁男性因染色体病继发精神运动发育迟缓，患有睾丸炎。阴囊超声检查发现睾丸微结石症，表现为多个高回声影像。13个月后，新的超声检查发现睾丸癌，遂行根治性睾丸切除术。目前该患者正在接受密切随访。
组织病理学研究显示为成熟畸胎瘤和小管内生殖细胞瘤。
睾丸微结石症与睾丸的良性和恶性病变有关。然而，其存在尚未完全明确，对于无症状的睾丸微结石症患者，泌尿外科医生的处理方式也未得到充分研究。
