What should be done if there are 2 issues in 3 internal sections of bilateral testicles?

Patient's question:

Do the three internal sections of the bilateral testicles each having 2, 2, and 1 points qualify as testicular microlithiasis? Is the risk of malignancy in this case higher or lower than 1%? What is the approximate risk of malignancy? My testicular ultrasound report states that the size and shape of the testicles and epididymis are normal, but there are echoes inside the testicles. I am 12 years old and very anxious. How can I prevent the malignant transformation? There are no points. I see online that testicular microlithiasis is densely packed on the testicular ultrasound. My three sections have 2, 2, and 1 points respectively. Is this normal? I am so scared. CDFI shows no obvious abnormal blood flow signals. Will this improve over time?

Doctor's answer:

In your case, it is not considered testicular microlithiasis, and there is absolutely no chance of malignancy. You should have a magnetic resonance imaging (MRI) re-examination every year. As long as there are no abnormal changes, there will be no risk of malignancy. You should wear loose underwear and avoid sexual activity. For testicular patients, timely treatment can reduce the incidence of the disease. If it is not treated in a timely manner, it may affect your physical condition. Therefore, patients should receive timely symptomatic treatment and avoid overexertion in daily life, while also paying attention to personal hygiene.

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