Testicular microlithiasis: Systematic review and Clinical guidelines.
Identifieur interne : 000588 ( Main/Exploration ); précédent : 000587; suivant : 000589Testicular microlithiasis: Systematic review and Clinical guidelines.
Auteurs : Fouad Aoun [Liban] ; Amine Slaoui [Maroc] ; Elias Naoum [Liban] ; Toufic Hassan [Liban] ; Simone Albisinni [Belgique] ; Jean Michel Azzo [Liban] ; Anthony Kallas-Chemaly [Liban] ; Grégoire Assenmacher [Belgique] ; Alexandre Peltier [Belgique] ; Thierry Roumeguère [Belgique]Source :
- Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie [ 1166-7087 ] ; 2019.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Calculs, Maladies testiculaires.
- thérapie : Calculs, Maladies testiculaires.
- épidémiologie : Calculs, Maladies testiculaires.
- Arbres de décision, Guides de bonnes pratiques cliniques comme sujet, Humains, Prévalence.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Calculi, Testicular Diseases.
- epidemiology : Calculi, Testicular Diseases.
- therapy : Calculi, Testicular Diseases.
- Decision Trees, Humans, Practice Guidelines as Topic, Prevalence.
Abstract
INTRODUCTION
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.
METHODS
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.
RESULTS
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.
CONCLUSION
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).
DOI: 10.1016/j.purol.2019.07.001
PubMed: 31383508
Affiliations:
Links toward previous steps (curation, corpus...)
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- to stream PubMed, to step Checkpoint: 000213
- to stream Main, to step Merge: 000588
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Le document en format XML
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Université Saint Joseph, Alfred Naccache boulevard, Beyrouth, Liban. Electronic address: fouad.aoun@bordet.be.</nlm:affiliation><country xml:lang="fr">Liban</country><wicri:regionArea>Service d'Urologie, Institut Jules Bordet, Université Libre de Bruxelles, 1 rue Héger-Bordet, 1000 Brussels, Belgique; Service d'Urologie, Hôtel Dieu de France, Faculté de médecine - Université Saint Joseph, Alfred Naccache boulevard, Beyrouth</wicri:regionArea><orgName type="university">Université libre de Bruxelles</orgName><placeName><settlement type="city">Bruxelles</settlement><region type="region" nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Slaoui, Amine" sort="Slaoui, Amine" uniqKey="Slaoui A" first="Amine" last="Slaoui">Amine Slaoui</name><affiliation wicri:level="4"><nlm:affiliation>Service d'Urologie, Institut Jules Bordet, Université Libre de Bruxelles, 1 rue Héger-Bordet, 1000 Brussels, Belgique; Service Urologie B Hôpital Avicenne, Université Mohamed V, Maroc.</nlm:affiliation><country xml:lang="fr">Maroc</country><wicri:regionArea>Service d'Urologie, Institut Jules Bordet, Université Libre de Bruxelles, 1 rue Héger-Bordet, 1000 Brussels, Belgique; Service Urologie B Hôpital Avicenne, Université Mohamed V</wicri:regionArea><orgName type="university">Université libre de Bruxelles</orgName><placeName><settlement type="city">Bruxelles</settlement><region type="region" nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Naoum, Elias" sort="Naoum, Elias" uniqKey="Naoum E" first="Elias" last="Naoum">Elias Naoum</name><affiliation wicri:level="1"><nlm:affiliation>Service d'Urologie, Hôtel Dieu de France, Faculté de médecine - Université Saint Joseph, Alfred Naccache boulevard, Beyrouth, Liban.</nlm:affiliation><country xml:lang="fr">Liban</country><wicri:regionArea>Service d'Urologie, Hôtel Dieu de France, Faculté de médecine - Université Saint Joseph, Alfred Naccache boulevard, Beyrouth</wicri:regionArea><wicri:noRegion>Beyrouth</wicri:noRegion></affiliation></author><author><name sortKey="Hassan, Toufic" sort="Hassan, Toufic" uniqKey="Hassan T" first="Toufic" last="Hassan">Toufic Hassan</name><affiliation wicri:level="1"><nlm:affiliation>Service d'Urologie, Hôtel Dieu de France, Faculté de médecine - Université Saint Joseph, Alfred Naccache boulevard, Beyrouth, Liban.</nlm:affiliation><country xml:lang="fr">Liban</country><wicri:regionArea>Service d'Urologie, Hôtel Dieu de France, Faculté de médecine - Université Saint Joseph, Alfred Naccache boulevard, Beyrouth</wicri:regionArea><wicri:noRegion>Beyrouth</wicri:noRegion></affiliation></author><author><name sortKey="Albisinni, Simone" sort="Albisinni, Simone" uniqKey="Albisinni S" first="Simone" last="Albisinni">Simone Albisinni</name><affiliation wicri:level="4"><nlm:affiliation>Service d'Urologie, Cliniques Universitaires de Bruxelles, hôpital Erasme, route de Lennik 808, 1070 Bruxelles, Université Libre de Bruxelles, Belgique.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Service d'Urologie, Cliniques Universitaires de Bruxelles, hôpital Erasme, route de Lennik 808, 1070 Bruxelles, Université Libre de Bruxelles</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region type="region" nuts="2">Région de Bruxelles-Capitale</region></placeName><orgName type="university">Université libre de Bruxelles</orgName></affiliation></author><author><name sortKey="Azzo, Jean Michel" sort="Azzo, Jean Michel" uniqKey="Azzo J" first="Jean Michel" last="Azzo">Jean Michel Azzo</name><affiliation wicri:level="1"><nlm:affiliation>Service d'Urologie, Hôpital Mont Liban, Université Libano-Américaine, Mickhael Gharios street, Hazmieh, Liban.</nlm:affiliation><country xml:lang="fr">Liban</country><wicri:regionArea>Service d'Urologie, Hôpital Mont Liban, Université Libano-Américaine, Mickhael Gharios street, Hazmieh</wicri:regionArea><wicri:noRegion>Hazmieh</wicri:noRegion></affiliation></author><author><name sortKey="Kallas Chemaly, Anthony" sort="Kallas Chemaly, Anthony" uniqKey="Kallas Chemaly A" first="Anthony" last="Kallas-Chemaly">Anthony Kallas-Chemaly</name><affiliation wicri:level="1"><nlm:affiliation>Service d'Urologie, Hôtel Dieu de France, Faculté de médecine - Université Saint Joseph, Alfred Naccache boulevard, Beyrouth, Liban.</nlm:affiliation><country xml:lang="fr">Liban</country><wicri:regionArea>Service d'Urologie, Hôtel Dieu de France, Faculté de médecine - Université Saint Joseph, Alfred Naccache boulevard, Beyrouth</wicri:regionArea><wicri:noRegion>Beyrouth</wicri:noRegion></affiliation></author><author><name sortKey="Assenmacher, Gregoire" sort="Assenmacher, Gregoire" uniqKey="Assenmacher G" first="Grégoire" last="Assenmacher">Grégoire Assenmacher</name><affiliation wicri:level="4"><nlm:affiliation>Service d'Urologie, Institut Jules Bordet, Université Libre de Bruxelles, 1 rue Héger-Bordet, 1000 Brussels, Belgique.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Service d'Urologie, Institut Jules Bordet, Université Libre de Bruxelles, 1 rue Héger-Bordet, 1000 Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName><orgName type="university">Université libre de Bruxelles</orgName><placeName><settlement type="city">Bruxelles</settlement><region type="region" nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Peltier, Alexandre" sort="Peltier, Alexandre" uniqKey="Peltier A" first="Alexandre" last="Peltier">Alexandre Peltier</name><affiliation wicri:level="4"><nlm:affiliation>Service d'Urologie, Institut Jules Bordet, Université Libre de Bruxelles, 1 rue Héger-Bordet, 1000 Brussels, Belgique.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Service d'Urologie, Institut Jules Bordet, Université Libre de Bruxelles, 1 rue Héger-Bordet, 1000 Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName><orgName type="university">Université libre de Bruxelles</orgName><placeName><settlement type="city">Bruxelles</settlement><region type="region" nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Roumeguere, Thierry" sort="Roumeguere, Thierry" uniqKey="Roumeguere T" first="Thierry" last="Roumeguère">Thierry Roumeguère</name><affiliation wicri:level="4"><nlm:affiliation>Service d'Urologie, Cliniques Universitaires de Bruxelles, hôpital Erasme, route de Lennik 808, 1070 Bruxelles, Université Libre de Bruxelles, Belgique.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Service d'Urologie, Cliniques Universitaires de Bruxelles, hôpital Erasme, route de Lennik 808, 1070 Bruxelles, Université Libre de Bruxelles</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region type="region" nuts="2">Région de Bruxelles-Capitale</region></placeName><orgName type="university">Université libre de Bruxelles</orgName></affiliation></author></analytic><series><title level="j">Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie</title><idno type="ISSN">1166-7087</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Calculi (diagnosis)</term><term>Calculi (epidemiology)</term><term>Calculi (therapy)</term><term>Decision Trees (MeSH)</term><term>Humans (MeSH)</term><term>Practice Guidelines as Topic (MeSH)</term><term>Prevalence (MeSH)</term><term>Testicular Diseases (diagnosis)</term><term>Testicular Diseases (epidemiology)</term><term>Testicular Diseases (therapy)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Arbres de décision (MeSH)</term><term>Calculs (diagnostic)</term><term>Calculs (thérapie)</term><term>Calculs (épidémiologie)</term><term>Guides de bonnes pratiques cliniques comme sujet (MeSH)</term><term>Humains (MeSH)</term><term>Maladies testiculaires (diagnostic)</term><term>Maladies testiculaires (thérapie)</term><term>Maladies testiculaires (épidémiologie)</term><term>Prévalence (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Calculi</term><term>Testicular Diseases</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Calculs</term><term>Maladies testiculaires</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Calculi</term><term>Testicular Diseases</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Calculi</term><term>Testicular Diseases</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Calculs</term><term>Maladies testiculaires</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Calculs</term><term>Maladies testiculaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Decision Trees</term><term>Humans</term><term>Practice Guidelines as Topic</term><term>Prevalence</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Arbres de décision</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Prévalence</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>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).</p></div></front></TEI><affiliations><list><country><li>Belgique</li><li>Liban</li><li>Maroc</li></country><region><li>Région de Bruxelles-Capitale</li></region><settlement><li>Bruxelles</li></settlement><orgName><li>Université libre de Bruxelles</li></orgName></list><tree><country name="Liban"><region name="Région de Bruxelles-Capitale"><name sortKey="Aoun, Fouad" sort="Aoun, Fouad" uniqKey="Aoun F" first="Fouad" last="Aoun">Fouad Aoun</name></region><name sortKey="Azzo, Jean Michel" sort="Azzo, Jean Michel" uniqKey="Azzo J" first="Jean Michel" last="Azzo">Jean Michel Azzo</name><name sortKey="Hassan, Toufic" sort="Hassan, Toufic" uniqKey="Hassan T" first="Toufic" last="Hassan">Toufic Hassan</name><name sortKey="Kallas Chemaly, Anthony" sort="Kallas Chemaly, Anthony" uniqKey="Kallas Chemaly A" first="Anthony" last="Kallas-Chemaly">Anthony Kallas-Chemaly</name><name sortKey="Naoum, Elias" sort="Naoum, Elias" uniqKey="Naoum E" first="Elias" last="Naoum">Elias Naoum</name></country><country name="Maroc"><region name="Région de Bruxelles-Capitale"><name sortKey="Slaoui, Amine" sort="Slaoui, Amine" uniqKey="Slaoui A" first="Amine" last="Slaoui">Amine Slaoui</name></region></country><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Albisinni, Simone" sort="Albisinni, Simone" uniqKey="Albisinni S" first="Simone" last="Albisinni">Simone Albisinni</name></region><name sortKey="Assenmacher, Gregoire" sort="Assenmacher, Gregoire" uniqKey="Assenmacher G" first="Grégoire" last="Assenmacher">Grégoire Assenmacher</name><name sortKey="Peltier, Alexandre" sort="Peltier, Alexandre" uniqKey="Peltier A" first="Alexandre" last="Peltier">Alexandre Peltier</name><name sortKey="Roumeguere, Thierry" sort="Roumeguere, Thierry" uniqKey="Roumeguere T" first="Thierry" last="Roumeguère">Thierry Roumeguère</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Testicular microlithiasis: Systematic review and Clinical guidelines.
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Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:31383508" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a MaghrebDataLibMedV2
| This area was generated with Dilib version V0.6.38. |  |