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Keywords:

  • germ cell tumour of testis;
  • paediatric;
  • surveillance;
  • testicular microlithiasis;
  • testicular self-examination

Aim:  To explore the issue of appropriate management of testicular microlithiasis. We report the third ever case of tumour arising from a testis previously known to have microlithiasis in childhood and review the literature to provide an evidence-based approach to management of testicular microlithiasis.

Methods:  Case report and review of previous literature.

Results and Conclusions:  Although there is a strong association between testicular microlithiasis and testicular malignancy at diagnosis, there are only three reported cases of subsequent tumour development in childhood. Testicular microlithiasis is an increasingly recognised entity. There is insufficient evidence in the current literature to support any regime of clinical surveillance. Self-examination is the most important factor in the early detection of testicular malignancy.