Slaughenhoupt Bruce, Kadlec Adam, Schrepferman Christopher
University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin 53792-3236, USA.
Urology. 2009 May;73(5):1029-31. doi: 10.1016/j.urology.2008.09.051. Epub 2008 Dec 18.
Testicular microlithiasis is a condition that has been associated with testis cancer in men and boys. We report the case of a 16-year-old boy who developed metastatic mixed germ cell testicular tumor in the setting of testicular microlithiasis detected by previous ultrasonography. The tumor developed in between semiannual visits and was detected by self-examination. Chest imaging revealed 2 lung lesions, and the beta-human chorionic gonadotropin level was elevated at presentation. Because of the particular nature of healthcare surveillance in the pediatric population, we recommend annual surveillance of boys with testicular microlithiasis, including physical examination, repeated instruction regarding self-examination, and ultrasonography.
睾丸微石症是一种与男性和男孩睾丸癌相关的病症。我们报告了一例16岁男孩的病例，该男孩在之前超声检查发现有睾丸微石症的情况下，发生了转移性混合性生殖细胞睾丸肿瘤。肿瘤在半年一次的检查间期出现，并通过自我检查被发现。胸部影像学检查发现肺部有2个病灶，就诊时β-人绒毛膜促性腺激素水平升高。鉴于儿科人群医疗监测的特殊性，我们建议对患有睾丸微石症的男孩进行年度监测，包括体格检查、关于自我检查的反复指导以及超声检查。
