A case of testicular microlithiasis with invading neoplasm is presented. Testicular microlithiasis is an uncommon condition in which calcifications are present in the testicle. Evidence shows that there is an association between testicular microlithiasis, germ cell neoplasms, and testicular tumors. Technical advances in high-resolution, real-time ultrasound and color flow Doppler allow sonographers to evaluate many scrotal diseases accurately.
Backus ML, Mack LA, Middleton WD, King BF, Winter TC III, True LD: Testicular microlithiasis: imaging appearance and pathologic correlation. Radiology1994;192:781–785.
2.
Janzen DL, et al: Testicular microlithiasis: sonographic and clinical features. Am J Radiol1992;158:1057–1060.
3.
Rifkin MD, Kurtz AB, Pasto ME, et al: The sonographic diagnosis of focal and infiltrating intrascrotal lesions. Urologic Radiol1984;6:20–26.
4.
Rifkin MD, Kurtz AB, Pasto ME, et al: Diagnostic capabilities of high-resolution scrotal ultrasonography: prospective evaluation. J Ultrasound Med1985;4:13–19.
5.
Rumack CM, Wilson SR, Charboneau JW:Diagnostic Ultrasound. 2nd ed.St Louis, MO, Mosby, 1998.
6.
Rifkin MD, Foy PM, Goldberg BB: Scrotal ultrasound: acoustic characteristics of the normal testis and epididymis defined with high-resolution superficial scanners. Med Ultrasound1984;8:91–97.
7.
Steinfeld AD: Testicular germ cell tumors: review of contemporary evaluation and management. Radiology1990;175:603–606.
Miller RL, Wissman R, White S, Rogasin R: Testicular microlithiasis: a benign condition with a malignant association. J Clin Ultrasound1996;24:197–202.
