A non-endocrine cause of testicular enlargement mimicking precocious puberty: Testicular microlithiasis

BÖBER E., Dundar B., DEMİR K., ABACI A., Cakmakci H., Buyukgebiz A.

JOURNAL OF PEDIATRIC ENDOCRINOLOGY & METABOLISM, vol.20, no.11, pp.1237-1240, 2007 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 20 Issue: 11
  • Publication Date: 2007
  • Doi Number: 10.1515/jpem.2007.20.11.1237
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1237-1240
  • Keywords: testicular microlithiasis, testicular enlargement, precocious puberty, MCCUNE-ALBRIGHT-SYNDROME, PREVALENCE, MALES
  • Dokuz Eylül University Affiliated: Yes


Untimely bilateral testicular enlargement greater than 3 ml is suggestive of precocious puberty, in which an underlying organic disease is more common in boys than in girls. We describe a 71/2 year-old boy presenting with testicular enlargement due to testicular microlithiasis. Following hormonal tests, diagnosis was based on ultrasonographic findings. Three years follow-up of the patient revealed normal pubertal progress and,,no., malignant evolution. Testicular microlithiasis.-is a rare cause. of testicular enlargement and pediatricians should take this disease into account in the differential diagnosis of suspected precocious puberty.