476
415612226014562114
ORIGINÁLNÍ3862207016996181224324367468561635735777
PRÁCE4677207016983165262348424
Ces38107936014570127174
Urol40097936014578115180208
2021;42427936014562121178233249
25(1):45167936014562122153207231253
40–4747957936014561124187252307
Závěr:774893013562119172227266293
V1086898013156
souboru116689801313795153213272304362
TM1552898013147132
jsme170889801312059147201
zaznamenali193389801314091135194243331385442491513535
tři24928980131306184
rizi‑26008980131295195118150
kové6241048013147103152203
případy.852104801316496118178228287336349
Všichni12251048013160102123171229287308
naši15571048013163112152173
pacienti17541048013165115163185238296327349
jsou2127104801312867125183
sledováni2334104801314567120180238287337394416
autopalpací6241198013150107141197257307329388438487508
jednou1157119801312073133191249307
měsíčně14881198013187140180201249307360
a18721198013147
mimo19431198013187109197256
to2223119801313187
i23341198013120
USG23781198013166114181
jed‑2584119801312073133166
nou6241348013159117175
ročně.823134801313794143201254271
Žádný11181348013163113173231277
chlapec14191348013153111133182241295345
zatím17881348013149100132154243
nebyl20551348013163116176223246
indikován2326134801312785144166211268316366424
na6241498013159108
biopsii,756149801316891149209249270292310
nebo10901498013166120179238
orchiektomii.1352149801316799146203225277323360416506527549568
U19441498013176
všech2044149801315898151201258
počítáme23261498013169128177199232282371424
s6241648013141
převedením689164801315788139188239299352410431520
do12321648013156114
následné13701648013155104143165218278335388
dispenzární1782164801315677116175229286330381412470492
péče22981648013157110159210
v25321648013146
do‑26011648013156114149
spělosti.6241798013141100154176234274309331349
KLÍČOVÁ6252084014770132164236320392464
SLOVA11152084014763124208280352
Mikrokalcifikace6242248013185107151184240285336357405426452478522573621671
varlete,1318224801314695126148200233283299
nádory16412248013154103161219250301
varlete,1966224801314594125148200232282299
dětský22882248013156108140181226276
věk,2588224801314596141162
ultrasonografie.624239801315881114145195235293352410470502552577604657674
SUMMARY6252684014762143243345423493561
Novák7742848013170131181233281
I,1081284801312444
Broďák1152284801315690149212262310
M.14882848013186109
What16232848013191152203238
can18872848013150102162
be20752848013162118
recommended22192848013133871391972893804354956242998013162119185
the8372998013149112170
testicular10352998013149105150189215268330356409445
microlithiasis150829980131107133186221283310335373436462515559584627
diagnosis21632998013176102155219282346390415459
in26502998013138100
childhood.6243148013149109133157218278339400462483
Introduction:774329301353096135176241308373424467496561626653
Testicular14523298013164113155192215266326350401434
microlithiasis191232980131105128179212272296319355416439490532554596
(TM)25333298013142100188216
is624344801312466
a7163448013172
rare8143448013154107141196
disease10363448013182106148205256298355
in14173448013144105
the15493448013155116173
pediatric17483448013183140204228280315349374425
population.22003448013183145209271295347382406467529550
A6243598013164
possible7123598013158117157197218277300353
link108935980131204199144
with1258359801317598131189
testicular1471359801313182122156179227284306355386
tumors1881359801313188177236268309
(TC)2214359801312580139169
requires2407359801312981141198220251303343
appropriate6243748013151111173206263325358381430463515
attention1164374801315992129181240273296355414
to16033748013143100
the17283748013142102156
disease.1909374801316991131185234275329347
The22813748013160121175
paper24813748013170121182237269
describes6243898013161115157207239262323379420
in1069389801313291
multiple118538980131100159182216239300324378
case15883898013158109150205
reports1818389801314194155216249287330
our21733898013168127159
personal23573898013171126158200260320370393
experiences6244048013153101161215247269322380428479519
with11674048013180102136194
this1385404801313492114153
disease.1562404801315981120173221261314331
Materials7744193013591148187244284313370399445
and12434193013563127191
Methods:14584193013598157197260323389435461
TM19504198013151137
were21124198013187140173225
found2363419801313694153212272
in2661419801313088
56244348013155
patients7064348013173127162186242304338383
during11164348013172133167192254317
screening14594348013153105140195252314338399462
ultrasound1948434801317195131166219262324386447510
(USG)24854348013141112163235265
examination6244498013155106160254278340392428453515577
of12284498013176108
the13634498013150112169
testes15594498013150105149187242285
performed18714498013178136171206267303398455519
due24174498013177138195
to26394498013150110
other624464801315790147199231
pathologies8794648013156105137195252275332392414466506
of1409464801315482
the1515464801313088140
scrotum1679464801313785117172205262349
(hydrocele,2052464801312684129187218274323373396448465
testicular25414648013130801201541766244798013150111136188222
retention,872479801314398134188250284309370432452
varicocele)13514798013161114148173225284337391416472500
or18774798013170105
positivity20094798013172135178201237262314340376430
in2466479801313394
the25874798013145106163
family624494801312981171193216266
history915494801316588128164221254307
of1247494801316595
TC13674948013158118
in1510494801313088
the1624494801314099154
years18034948013155108157189231
2010–2020.20604948013160112161210269317370420473492
The25774948013158119173
age6245098013150110164
of814509801316292
the931509801313897152
patients11085098013165116149172226285318360
at1494509801315487
the1606509801313898152
time1783509801313861151205
of2013509801316393
diagnosis2131509801316487136197256315356378419
was25755098013183134175
18–1556245248013155105165215263316
months96752480131106168230265327370
(average1364524801314392144199234287351407
=17985248013181
98,19065248013168125146
median207952480131106163228252304366
=24725248013180
12625795248013169117171
months).6245398013190150209242301342367384
All1033539801317396119
of1177539801316797
them12995398013143102156246
had15705398013168118178
characteristic17745398013157116166198249299336388421445485520543593
bilateral2392539801316993116166199251283335358
finding.624554801312753112172195254314334
At983554801316597
the1105554801313494148
same1278554801314192182237
time1540554801313457147201
there1766554801313594148180233
were20245548013180133165218
diverse2267554801316083134186219261315
risk260755480131335797143
factors624569801312981130168225258300
present949569801315891144185240299332
in1306569801312179
three1410569801313291124176231
patients16665698013159110143166220279312354
(history2046569801312786109149185242275328
of2399569801315686
semi‑2510569801313993183206240
noma6245848013159118209259
in908584801312483
the1016584801313595149
fathers1190584801313082115174228261303
of1518584801316089
two16325848013136118177
patients,18345848013162113146169223282315358377
one22375848013159119173
patient24355848013162113147170223282315
after624599801315079118170202
bilateral851599801316286109159192244276327351
orchidopexy).1227599801316093141199222282342403458507559587603
Results:7746143013561116160220246283328352
All1142614801316384105
512696148013148
patients13406148013155103133154205261291331
are1694614801314474124
routinely1840614801312782138170191246297319365
observed22286148013152110149200230281331389
for2640614801312379109
12–72624629801315396147193243
months8916298013184141198229286324
(average1238629801312569116166197245303355
=16166298013160
50,1700629801314899115
median18386298013185137196217264320
=21816298013161
722265629801314999
months),23876298013185142199230286325349363
perform6246448013160114144176232264353
autopalpation10016448013145102135190249299320379428460482539596
of1621644801315482
the1727644801313087139
testes1890644801313080120154204244
once21576448013154112160210
a23916448013146
month24606448013186143201232290
and6246598013150108167
undergo8156598013160118177230261319377
USG12166598013170118186
once14266598013160118167218
a16686598013151
year.17436598013149101149181195
In1962659801312482
420686598013155
patients21476598013162111144166218276308350
there2521659801313593146177229
were6246748013179132163214
no8636748013155113
changes10006748013146103152210269322362
in1386674801312077
the1487674801313189142
sense1653674801313790148188241
of1918674801315583
palpation20256748013157107129189239271293351409
or2458674801315587
USG25696748013165113181
finding624689801312753111170192250309
that957689801313896145177
would11586898013183140198220279
raise1461689801313787108147200
a16856898013154
suspicion17636898013145101141200222270292350408
of2196689801316290
TC.23106898013155114133
In2467689801312785
one25766898013162121174
patient6247048013162113146169223282315
a9637048013160
small10477048013151141191214236
cyst13087048013159111152188
was15217048013189140181
described17267048013170124165215247271332387448
on21997048013168128
the23527048013143102157
right2534704801314164125184217
testis624719801313383122155177214
during8627198013154110140162218276
one11617198013153110162
of1346719801315381
the1450719801312986137
control1611719801314498155186217272294
USG19287198013164110176
at2127719801314576
another22277198013144101158189245297327
urology2578719801315383138624734801312381142190
department.8387348013162115175225256293382435493525544
During14067348013173132163186243303
USG17337348013171118186
at1943734801315284
our20517348013161119150
department22257348013162115175224256293382435493525
a6247498013151
contralateral7017498013159117178211244296320370404457490542565
multiple129274980131101160183218241303328382
cystic17007498013159112154190213264
formation1989749801313898131224275309332392453
of2467749801316999
the25917498013144104159
epididymis6247648013153113135195216275324414436475
–11237648013155
spermatocele1202764801313796150182272320353408458509531584
–18107648013152
was18867648013175125165
found,2075764801312582140198257275
however23747648013156114192244293345376
a2976898013150
cyst304989801314596136170
was3243898013175124163
not3430898013155112144
found359889801312582139196255
in387789801311976
the397789801313087140
right414089801312951110167198
testicle.436289801313080120154176224245298314
The4700898013147107159
usual488389801315493149197219
standard2976104801314176125183242291322380
procedure3380104801316698154204254315372403455
with38591048013183106139197
autopalpation40801048013155112145201262312334393443475497555613
and47181048013154112171
USG49131048013173121189
controls29761198013149105163195227284307345
followed.3346119801312886109130188267319379398
Conclusion:31261343013565125188237265327373400462525549
We37001348013198148
observed38721348013167127167220251304356416
three43121348013142100131183237
risk4573134801314063102147
cases47441348013157106146199239
of5008134801316694
TM29761498013151136
with31361498013182104137195
risk335614980131345796141
factors.3521149801313081130166222254295314
Therefore38591498013154113167198249278335367418
all430114980131527496
the4421149801313694147
patients45921498013163113145167220278310351
are4967149801315283135
monitored29761648013193153214237272330364417480
not34811648013170130164
only36711648013168129153203
by38991648013171120
autopalpation40451648013160119154212275327350412464498521581642
monthly471216480131101162223256317340390
but29761798013162122157
also3158179801316083123183
by33671798013170119
USG35111798013179129198
annually.37351798013159119178237288311334383398
No41581798013180140
patient43241798013170122155178233293326
has46751798013169119160
been48601798013171127182242
indicated2976194801312381140162210260292343403
for3403194801313188120
biopsy3547194801316284142202243292
or3863194801316092
orchiectomy3979194801316092139196218271320356412502548
yet.45511948013150102135154
For47291948013152109141
all489419480131527496
of5014194801316088
them,2976209801313492145234252
we32522098013179131
expect34072098013153100160214264300
transfer3731209801313365115173212242294325
to4080209801313389
subsequent4194209801314096156196249309366419477509
transient4727209801313365115172212233286343375
care2976224801314999130182
in3182224801312380
adulthood.32862248013150110167189222280338397458476
KEY29782534014770134206
WORDS321025340147106190261346409
Testicular2976269801315299141176199249308331381413
microlithiasis,341426980131100123173205263287309344403426475516539579598
testicular4037269801314396137173195245304327377409
tumors,44712698013143103193253286329348
child‑48442698013158118140163224258
hood,29762848013159117176237254
ultrasonography.3255284801315880113145195235293351410470501551611669715729
………297631340147120240360
ÚVOD29783558018197183286388
Manifestující29763898013186137197221251306348385445469493543567
se35693898013147102
patologie36983898013166118153211236296359383438
v41623898013155
oblasti42443898013164126152202244281305
šourku45763898013146107167200249309
jsou4911389801312971131191
obvykle29764048013160125177233284311368
významným33724048013161118168231284378440490585
psychickým39854048013173117170222284309361410466561
traumatem4574404801314581135196290343379434528
pro2976419801316093151
rodiče3152419801313087149172221273
malých34504198013187137160209258316
chlapců,37924198013146105128178238289347366
později41844198013158118161220274297320
s45294198013139
věkem45934198013147100146199288
i49074198013121
pro4953419801315891149
postižené29764348013162126169207233280336398455
pubertální34584348013173136199257292333387412474499
a39844348013162
adolescentní40744348013162125187214271315367422484520582607
chlapce.47094348013161123148201264318373393
V29764498013156
naprosté30594498013169120183217276319355409
většině34944498013161115150194218278333
jde3854449801313495151
o40314498013169
onemocnění41274498013169130186277338390451506566590
benigní47444498013171128188212274334358
(hydrokéla,2976464801313091141202236296346400426478499
spermatokéla,35024648013152114172206300352387446495550576627649
varikokéla41784648013160113148173221281331386411463
aj.),4668464801316186107137155
nebo48504648013170126189252
stavy2976479801314177128176230
akutního3231479801314895154189249272333393
onemocnění36494798013157116171261320371430484543567
šourku4241479801313998158190238297
(torze,4564479801312759117150198251269
záně‑4859479801314294153207243
ty).2976494801313487116134
Vyšetřující31364948013157109151206242275336360384434458
lékař3620494801312580128181214
kromě3861494801314883142234289
fyzikálního4176494801313185134159207260284344367430490
vyšetření46934948013151105148203238272325385409
šourku29765098013141101161195243303
indikuje3306509801312686148172219279304359
provedení3691509801316499157208262324379440463
USG,41815098013172122192214
které4421509801315089143176230
diagnózu4677509801316488138200260320365425
potvrdí.29765248013161122157211246306330351
Vedlejším33535248013163115177201256281322345436
obvykle38165248013165128178233281308363
oboustranným42055248013166128190250291328362414474534582675
USG49065248013176126196
nálezem29765398013160113139196244300394
varlat33975398013162116151177230266
může369053980131103164212268
být39855398013173124165
mikrolitiáza417853980131103128177214275301326363389441490544
(obr.4750539801314199164200217
1).4994539801316690108
V29765548013158
dětské30625548013179136174220270327
populaci34175548013180144210273299353407433
je3878554801314199
TM40055548013170161
vzácným41945548013168120176229292343440
nálezem.46625548013178132158216265322417440
Obr.29767192013779145188211
1.3209719201375781
Ultrasonografický3345719801316687117148199234288344398453483534558584628672719
nález40847198013153107129175219
varlete4323719801314395126147193224268
postiženého46107198013153108144175196237281337382438492
mikrolitiázou29767348013187109152184236258280310331385428481536
Fig.2976749201376090157188
1.3187749201377399
The33447498013150109157
ultrasonographic3522749801316689122153207244300359415473505558615674696743
image42867498013133122178235283
of4590749801316695
testicular4706749801314287126159182228285308364396
microlithiasis29767648013187109153183236258279310365386440476496531