Salisz J A, Goldman K A
Department of Urology, William Beaumont Hospital, Royal Oak, Michigan.
Urology. 1990 Dec;36(6):557-60. doi: 10.1016/0090-4295(90)80202-x.
A subfertile male with a history of left cryptorchism underwent scrotal ultrasound that revealed stippled calcifications, without associated mass, in the right testicle. Six months later, while on a regimen of clomiphene citrate, a testicular tumor became palpable. This was sonographically confirmed to be surrounding the calcifications. Testicular calcifications are most commonly associated with benign conditions. We review the literature regarding their relationship to neoplasms and the significance of the ultrasonic findings. Furthermore, this is the sixth reported case of testicular tumor developing during hormonal treatment for oligospermia. Although these cases may be circumstantial, closer surveillance and screening ultrasound may be indicated for subfertile males taking clomiphene citrate.
一名有左侧隐睾病史的男性不育患者接受了阴囊超声检查，结果显示右侧睾丸有散在钙化灶，无相关肿块。六个月后，在服用枸橼酸氯米芬期间，可触及睾丸肿瘤。超声检查证实该肿瘤围绕钙化灶。睾丸钙化最常见于良性疾病。我们回顾了关于它们与肿瘤的关系以及超声检查结果意义的文献。此外，这是第六例报道的在少精子症激素治疗期间发生睾丸肿瘤的病例。尽管这些病例可能是偶然的，但对于服用枸橼酸氯米芬的男性不育患者，可能需要更密切的监测和筛查超声检查。
