Habachi Ghada, Kerkeni Yosra, Riadh Jouini
Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia.
Department of Pediatric Surgery "A", "Bechir Hamza" Children's Hospital of Tunis, Tunis El Manar University, Tunis, Tunisia.
Front Pediatr. 2025 Jul 30;13:1554081. doi: 10.3389/fped.2025.1554081. eCollection 2025.
Testicular microlithiasis (TM) is a relatively rare and incompletely understood condition, particularly in the pediatric population. Its clinical significance and optimal diagnostic and therapeutic management remain subjects of ongoing debate. In order to clarify current practices and guide clinical decision-making, we conducted a literature review of recent studies published using the search terms , , , and . The primary objective of this review was to propose a standardized diagnostic management algorithm based on the available evidence. The nature of testicular microlithiasis remains a subject of ongoing debate. In the absence of definitive evidence, continued follow-up appears to be the safest approach to minimize the risk of delayed diagnosis in the event of malignant transformation or tumor development. Routine scrotal examination should be encouraged and properly taught, particularly to adolescents and their caregivers. Ultrasonographic (US) surveillance, while not mandatory, should be considered when accessible, especially in individuals with additional risk factors.
睾丸微石症（TM）是一种相对罕见且尚未完全了解的病症，在儿科人群中尤为如此。其临床意义以及最佳诊断和治疗管理仍是持续争论的话题。为了阐明当前的做法并指导临床决策，我们对使用搜索词 、 、 和 发表的近期研究进行了文献综述。本综述的主要目的是根据现有证据提出一种标准化的诊断管理算法。睾丸微石症的性质仍是一个持续争论的话题。在缺乏确凿证据的情况下，持续随访似乎是将恶性转化或肿瘤发生时延迟诊断风险降至最低的最安全方法。应鼓励并正确教授常规阴囊检查，尤其是对青少年及其护理人员。超声（US）监测虽非强制性，但在可行时应予以考虑，特别是对于有其他风险因素的个体。
