Testicular microlithiasis: Systematic review and Clinical guidelines
Progrès en Urologie, ISSN: 1166-7087, Vol: 29, Issue: 10, Page: 465-473
2019
- 9Citations
- 26Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Metrics Details
- Citations9
- Citation Indexes9
- CrossRef9
- Captures26
- Readers26
- 26
Article Description
There are no clear recommendations on how patients with testicular microlithiasis should be followed up. The aim of our systematic review is to give clinical guidelines based on the evidence in the literature. A web search was conducted during February 2018 based on Pubmed data, Embase and Cochrane database. The eligibility of articles was defined using the PICOS method, in concordance with the PRISMA recommendations. Fifty three articles were selected for our final synthesis. Our review highlighted an association between testicular microlithiasis and the already known risk factors of testicular germ cell tumor. The presence of testicular microlithiasis in patients with such risk factors increases more the risk of cancer. In the absence of risk factors, the risk to develop testicular cancer is similar to the risk in general population. In patients at risk to develop testicular cancer, observation versus testicular biopsy is debatable. We recommend an individualized approach based on the age of the patient, the presence of concurrent features of testicular dysgenesis syndrome, the fertility of the couple, the desire of paternity and the ultrasound pattern (bilateral and clustered vs. unilateral and limited). Il n’y a pas dans la littérature un consensus clair sur la démarche à suivre en cas de microlithiases testiculaires. Le but de notre revue systématique de la littérature est d’aider le clinicien dans sa conduite à tenir. Une recherche a été menée, en février 2018, sur les base des données Pubmed, Embase et Cochrane en utilisant les mots clés suivant: «testicular microcalcifications» et « testicular microlithiases ». Cinquante-trois articles ont été retenus. Notre revue a mis en évidence une association des microlithiases testiculaires avec les facteurs de risque de cancer testiculaire et que cette association augmente encore le risque de cancer testiculaire. La présence de microlithiases sans aucun facteur de risque de cancer testiculaire n’a pas de signification clinique. La présence de microlithiases testiculaires chez des patients à risque de développer un cancer testiculaire, mérite une surveillance rapprochée. La biopsie testiculaire chez ces patients pourra être indiquée en fonction de l’âge du patient, de son désir de paternité, de la fertilité du couple, et de la présence d’un syndrome de dysgénésie testiculaire.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S1166708719301599; http://dx.doi.org/10.1016/j.purol.2019.07.001; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85069969500&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/31383508; https://linkinghub.elsevier.com/retrieve/pii/S1166708719301599; https://dx.doi.org/10.1016/j.purol.2019.07.001
Elsevier BV
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