Calcifications and testicular cancer

[Paul330]

During a sonogram, it was accidentally discovered that I have multiple very small calcifications (I can't remember if they are on or in the testicle, or just in the scrotum). The radiologist wasn't concerned about them but my GP recommended a follow up in 6 months. I saw a urologist and he said that it was a fairly common finding and nothing to worry about and didn't say that I needed to monitor it. However, that urologist was wrong on two of my other diagnoses, which I am now getting help with from a second urologist. Unfortunately, I forgot to ask the second urologist about the calcifications because I had thought that that question had been answered. I'm not really worried that I am at risk for testicular cancer. Is there a link? Should I be concerned?

[HeinrikMD]

Hi,

You need to find out if the calcifications are in the testicle or in the scrotum only

For intratesticular:
Calcifications are fairly uncommon
Solitary punctuate calcifications likely represent stones in the veins or spermatic granulomas. These are not clinically significant.

A pattern of clustering is an important finding, because it raises the possibility of a tumor or a vascular problem (such as infarction, or an area deprived of normal blood supply).

Testicular microlithiasis (these are 1-3 mm, usually multiple… this sounds like what you have but based on your limited description, it’s hard to be sure) are usually thought as incidental findings. The relationship between this finding and benign or malignant tumors is yet to be defined.  

For extratesticular:
Calcifications here are fairly common and most are benign
Calcifications within the epididymis likely result from chronic epididymitis. Solitary calcifications may be deposits within the layers of the scrotum.