Microlithiasis

[Merely]

I learned about testicular microlithiasis in school and was a little confused about how to manage a patient with such a condition. My prof said that you don't need to treat only tell patient to do self exams but I read that it is associated with other conditions like testicular cancer so wouldn't it be wise to act on that information? I dont really know much as Im an M1 but was looking for some insight. Sorry if this is a confusing question lol

---

Members don't see this ad.

 

[cpants]

I learned about testicular microlithiasis in school and was a little confused about how to manage a patient with such a condition. My prof said that you don't need to treat only tell patient to do self exams but I read that it is associated with other conditions like testicular cancer so wouldn't it be wise to act on that information? I dont really know much as Im an M1 but was looking for some insight. Sorry if this is a confusing question lol

Testicular microlithiasis is more common in men who have testicular cancer, but testicular cancer is not more common in men who have testicular microlithiasis. It is basically a normal variant present in about 5% of men. If seen on a testicular ultrasound, no additional screening is needed other than monthly testicular exams (recommended for all men).

 

[Merely]

Testicular microlithiasis is more common in men who have testicular cancer, but testicular cancer is not more common in men who have testicular microlithiasis. It is basically a normal variant present in about 5% of men. If seen on a testicular ultrasound, no additional screening is needed other than monthly testicular exams (recommended for all men).

Thank you very much for the insight, I spent a lot of time reading pubmed and saw a lot of conflicting info but the general consensus was what you said. So you don't think that seeing it on US should prompt a tumor marker screen or follow up imaging in a few months? Thats what I saw as a potential protocol in some of the articles was wondering your view on that.

 

[cpants]

Thank you very much for the insight, I spent a lot of time reading pubmed and saw a lot of conflicting info but the general consensus was what you said. So you don't think that seeing it on US should prompt a tumor marker screen or follow up imaging in a few months? Thats what I saw as a potential protocol in some of the articles was wondering your view on that.

Tumor markers are definitely not indicated. Some urologists will check a follow up ultrasound in 6 months or a year, but this is also low yield. Evidence-based practice is no additional screening aside from monthly testicular self examination.