Source:http://linkedlifedata.com/resource/pubmed/id/19207616
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2009-7-20
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pubmed:abstractText |
Testicular microlithiasis (TM) has been associated with testicular germ cell tumours (TGCTs) in adolescents and adults and with its precursor carcinoma in situ (CIS). A clear definition of TM and the need for further diagnostics and follow-up is lacking. We reviewed the literature of TM and its association with TGCT/CIS and current follow-up advises and propose a management approach based on associated risk factors for TGCT. In the literature, a wide variance of TM incidence is reported in different patient populations. A consensus concerning the malignant potential of TM has not been reached. In addition, a clear definition on TM is lacking. Although a correlation between TM and TGCT or CIS is found, precise management and follow-up schedules are absent. We suggest that all hyperechogenic foci smaller than 3 mm without shadowing should be named TM irrespective of their number. In addition, we suggest a management scheme for physicians encountering TM in daily practice. Our algorithm suggests taking a testicular biopsy in a selected patient population with at least one additional risk factor for TGCT. A long-term active follow-up schedule, including ultrasonography and physical examinations, is not indicated in the remaining patients with TM.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
1365-2605
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
32
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
279-87
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pubmed:dateRevised |
2010-10-27
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pubmed:meshHeading |
pubmed-meshheading:19207616-Adolescent,
pubmed-meshheading:19207616-Adult,
pubmed-meshheading:19207616-Biopsy,
pubmed-meshheading:19207616-Carcinoma in Situ,
pubmed-meshheading:19207616-Disease Progression,
pubmed-meshheading:19207616-Humans,
pubmed-meshheading:19207616-Immunohistochemistry,
pubmed-meshheading:19207616-Incidence,
pubmed-meshheading:19207616-Lithiasis,
pubmed-meshheading:19207616-Male,
pubmed-meshheading:19207616-Neoplasms, Germ Cell and Embryonal,
pubmed-meshheading:19207616-Practice Guidelines as Topic,
pubmed-meshheading:19207616-Predictive Value of Tests,
pubmed-meshheading:19207616-Prognosis,
pubmed-meshheading:19207616-Risk Factors,
pubmed-meshheading:19207616-Testicular Diseases,
pubmed-meshheading:19207616-Testicular Neoplasms,
pubmed-meshheading:19207616-Testis
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pubmed:year |
2009
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pubmed:articleTitle |
Testicular microlithiasis and carcinoma in situ overview and proposed clinical guideline.
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pubmed:affiliation |
Department of Urology, Erasmus MC, Rotterdam, The Netherlands.
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pubmed:publicationType |
Journal Article,
Review
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