Testicular microlithiasis in the setting of primary extragonadal germ cell tumor: A case series

Joel P. Thompson, Jerome Jean-Gilles, Vikram Dogra

Research output: Contribution to journalArticlepeer-review

Abstract

The clinical significance of testicular microlithiasis (TM) in patients with primary extragonadal germ cell tumor (EGCT) is not well understood. When EGCT is suspected, sonographic and physical examination of the testicles should be performed to evaluate for testicular lesion or atrophy; negative testicular ultrasound with current technology virtually excludes the possibility of occult primary lesion. Although EGCTs are known to be associated with elevated level of serum tumor markers, the utility of tumor markers in the presence of TM is not well understood. Current guidelines for TM follow-up and management do not include any potential correlation between TM and primary EGCT, an association that should be addressed on future updates.

Original languageEnglish (US)
Pages (from-to)41-45
Number of pages5
JournalUltrasound Quarterly
Volume33
Issue number1
DOIs
StatePublished - 2017
Externally publishedYes

Keywords

  • Extragonadal germ cell tumor
  • Testicular microlithiasis
  • Testicular ultrasound

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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