고환미석증 1예
Fifteen Cases of Testicular Microlithiasis
강흥원, 김광세, 강유나,
소속 상세정보
강흥원 ( )
계명대학교 의과대학 비뇨기과학교실
김광세 ( )
의과학연구소
강유나 ( )
해부병리학교실
KMID : 0358319980390121259
Abstract
서론
고환미석증(microlithiasis)은 음낭초음파영 상에서 양측고환전체에 흩어져 있는 매우 작은
고반향성 병소로 관측되며 음향음영은 관찰되지 않는 특징적 소견을 보인다. 그리고 조직
검사상 세정 관내에 동심 원상으로 층상 배열된 소체가 관찰된다. 과거에는 조직학적으로만
진단이 가능했으나 고해상도 초음파검사가 사용된 이후 이의 발견율이 증가되고 있다. 이
질환의 발생기전이나 임상적 의의는 아직 분명치 않다. 저자들은 음낭초음파검사에서 전형
적인 고환미 석증소견을 나타낸 15례를 분석하여 이 질환의 임상적 특징을 알아보고자 하였
다.
#초록#
Purpose : This study was made to evaluate the clinical characteristics of testicular
microlithiasis which shows small diffuse hyperechoic nonshadowing foci throughout both
testes on sonography.
Materials and Methods : Between July 1995 and May 1997, we had seen 15 Patients
with dilateral diffuse microlithiasis of the testes on the sonography. Medical records
were reviewed with respect to age at presentation, associated diseases, and sonographic
and pathologic characteristics.
Results : The age of the patients ranged from 8 to 69 years. The testicular
microlithiasis was coincidental to the presence of erectile dysfunction(n=5),
epididymitis(n=5), varicocele(n=4), epididymal cyst(n=2), infertility(n=1), testicular
teratoma(n=1) and diabetes mellitus(n=1). There were considerable variations in the
numbers of echogenic foci on each sonography that examined the entire half of the
scrotum(from 15 to more than 60 foci).
The histological examinations were done in two patients and sbowed the lumina of
seminiferous tubules filled with concentrically lamellated calcified concretions.
Conclusions : The testicular microlithiasis showed a wide range of age at presentation
and associated with diabetes mellitus and a variety of urological problems including
erectile dysfunction, epididymitis, varicoce18, epididymal cyst, infertility and testicular
teratoma.
The clinical relevance remains unclear at this time. Further additional cases as well as
a long-term follow-up would be necessary to assess the association between testicular
microlithiasis and these coincidental conditions.
키워드
Testicular microlithiasis; Sonography;
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