Is Testicular Macrocalcification a Risk for Malignancy?: Tumor Development on Ultrasonographic Follow‐up of Preexisting Intratesticular Macrocalcification

Testicular macrocalcification is an uncommon finding when imaging the scrotum with ultrasonography (US). It is not normally a recognized risk factor for development of testicular malignancy, and patients are not usually offered follow‐up US examinations or counseled for self‐examination. This aspect is in distinction to patients with testicular microlithiasis (usually with an additional risk factor), who are offered follow‐up on the assumption that microlithiasis is associated with malignancy. We report a series of 6 patients with predetermined testicular macrocalcification, with development of a malignancy on follow‐up US. We encourage US follow‐up examinations for patients with macrocalcification, potentially in a similar manner as for those with testicular microlithiasis.