INCIDENTALOMAS OF THE TESTICLE AND TESTICULAR MICROLITHIASIS: CURRENT APPROACHES TO DIAGNOSIS AND TREATMENT (literature review, clinical cases)

Malignant tumors of the testicle comprise about 1–2 % of all neoplasms in males and 5 % of tumors of the urinary system and male genitals. At early stages, malignant tumors of the testicle have no clinical manifestations. Gradually increasing in size, they change the shape and density of the testicle. Men seeking medical consultation on infertility are recommended to undergo ultrasound examination of the scrotum. As a result, in patients with normal tumor marker levels and lack of symptoms small (less than1 cmin diameter) testicular tumors (incidentalomas of the testicle) and testicular microlithiasis are diagnosed. Lately, a number of studies has shown a possible need to expand indications for organ-preserving treatment, in particular, for incidentalomas of the testicle. Here we present a literature review on this subject and our clinical observations.