Editorial comment

摘要

Editorial Comment: Is testicular microlithiasis a curiosity or a concern? Cambareri et al remind us that there are a few boys with microlithiasis in association with testicular tumor and suggest that the association is more than circumstantial. Goede and Hack look more carefully at the actual prevalence of testicular microlithiasis with a meta-analysis of 57 studies taken from a search of 472 articles that were included as potentially relevant to identify the prevalence of testicular microlithiasis and its relationship to benign and malignant entities. They conclude that the incidence of testicular microlithiasis in asymptomatic boys may be as high as 4.2%, whereas in symptomatic referrals it varies between 1.1% and 2.8%. They recommend regular self-examination from the age of 15 years and more regular followup by ultrasound in patients with testicular enlargement, Down syndrome or symptoms of testicular microlithiasis.