Guía de la ESUR en microlitiasis testicular

http://link.springer.com/article/10.1007/s00330-014-3437-x

Testicular microlithiasis imaging and follow-up: guidelines of the ESUR scrotal imaging subcommittee 

Jonathan Richenberg & Jane Belfield & Parvati Ramchandani & Laurence Rocher & Simon Freeman & Athina C. Tsili & Faye Cuthbert & Michal Studniarek & Michele Bertolotto & Ahmet Tuncay Turgut & Vikram Dogra & Lorenzo E. Derch

Eur Radiol (2015) 25:323–330
DOI 10.1007/s00330-014-3437-x

Del abstract:

"Proposed guidelines are: follow-up is not advised in patients with isolated TML in the absence of risk factors (see Key Points below); annual ultrasound (US) is advised for patients with risk factors, up to the age of 55; if TML is found with a testicular mass, urgent referral to a specialist centre is advised.

Consensus opinion of the scrotal subcommittee of the ESUR is that the presence of TML alone in the absence of other risk factors is not an indication for regular scrotal US, further US screening or biopsy. US is recommended in the follow-up of patients at risk, where risk factors other than microlithiasis are present.

Key Points
• Follow up advised only in patients with TML and additional risk factors.
• Annual US advised for patients with risk factors up to age 55.
• If TML is found with testicular mass, urgent specialist referral advised.
• Risk factors – personal/ family history of GCT, maldescent, orchidopexy, testicular atrophy."