It can. The cause of testicular microlithiasis is currently unknown, but related studies have found that microcrystals are located outside the tubules of the varicocele and are present from the early stages of testicular development and can calcify into stones. It has also been reported that tumours occur 4-6 years after the diagnosis of testicular microlithiasis in the paediatric population. Therefore, when testicular microlithiasis is detected in a paediatric patient, close clinical follow-up and an annual ultrasound examination should be performed until the peak age of germ cell tumour development.