Granulomatous Orchitis -
An Analysis of Clinical
Presentation, Pathological
Anatomic Features and Possible
Etiologic Factors

Wegner, H; Loy, V.; Dieckmann, Klaus‐Peter

doi:10.1159/000475343

Cited by 31 publications

(21 citation statements)

References 16 publications

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“…In the cases of dermoid cysts, epider moid cysts, and granulomatous orchitis, this concept has been challenged on the basis of the clinical benign nature of the conditions and the absence of testicular intraepithe lial neoplasia, so-called carcinoma in situ, the precursor of all testicular germ cell tumors [2][3][4][5]12]. Weissbach [13] recently suggested tumor enucleation even in germ cell tumors in cases of a single testis, small tumor size (<2 cm) and dislike of androgen supplementation.…”

Section: Discussionmentioning

confidence: 99%

“…Between 1969 and 1995, 491 patients with testicular germ cell tumor were treated at our center (54% seminoma, 46% nonseminona; mean age of onset 42.8 years) [1], Thirty-one patients were treated for nonmalignant testicular tumors, in 1 complex case, a paratesticular epidermoid cyst that could not be separated from the tes tis and concomitant dermoid cyst of the spermatic cord was detected [2]: 10 patients were diagnosed to suffer from testicular epidermoid cyst [3], 1 patient had testicu lar dermoid cyst [4], 5 had granulomatous orchitis [5] and 15 had Leydig cell tumors.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Leydig Cell Tumor–Comparison of Results of Radical and Testis-Sparing Surgery in a Single Center

Wegner

Dieckmann²,

Herbst³

et al. 1997

Urol Int

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Between January 1981 and December 1995, 15 patients were treated for Leydig cell tumor at our institution – 12 by radical orchiectomy, 3 by tumor enu-cleation. All patients were contacted to assess the long-term outcome depending on the treatment initially chosen. Follow-up ranged from 8 to 161 months (mean 56). In no case was progressive disease documented, in 1 case local recurrence was witnessed 4 months after tumor enucleation despite negative resection margins. We conclude that a small Leydig cell tumor can safely be managed by local enucleation alone.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Leydig Cell Tumor–Comparison of Results of Radical and Testis-Sparing Surgery in a Single Center

Wegner

Dieckmann²,

Herbst³

et al. 1997

Urol Int

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“…El papel de la infección en la etiología de la OG idiopáticas no debe ser olvidado. Se ha encontrado infección bacteriana del tracto urinario, en pacientes con OG (hasta el 30% de los casos en alguna serie), pero no se ha podido demostrar directamente su relación 3,11,13 .…”

Section: Discussionunclassified

“…La combinación de la historia clínica junto el estudio de laboratorio y la ecografía nos pueden dar el diagnóstico 3,11,13 . Nosotros presentamos un raro caso de orquitis granulomatosa idiopá-tica con afectación sincrónica de ambos testículos, lesión bilateral con sólo 4 casos publicados en la literatura 4,6,7,10 .…”

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Orquitis granulomatosa idiopática bilateral

Rey

Manzanilla²,

Tello

2008

Actas Urol Esp

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RESUMENORQUITIS GRANULOMATOSA IDIOPATICA BILATERAL Describimos un raro caso de sincronismo asintomático de orquitis idiopática granulomatosa bilateral. La ecografia escrotal muestra múltiples áreas hipocóicas, el diagnóstico diferencial entre tumor y orquitis granulomatosa es muy difícil y sólo el examen histológico lo confirmará.Palabras clave: Granuloma. Orquitis. Idiopática. Bilateral. ABSTRACT GRANULOMATOUS ORCHITIS IDIOPATHIC BILATERALA rare case of asymtomatic synchronous bilateral granulomatous orchitis idiopathic is decribed. In the scrotal ultrasonography are multiple hypoecoic areas, differential diagnosis between testicular tumor and granulomatous orchitis is very difficult in any examination by histological findings.

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“…Granulomatous orchitis, which may be easily misdiagnosed as a malignant tumor, 3 is an uncommon symptom of African trypanosomiasis though reproductive disorders of both genders have been reported in patients with this disease 4 and can be experimentally induced and treated in animals. 5 In infected rabbits, trypanosomes were seen in the interstitium of the testes by electron microscopy.…”

Section: Discussionmentioning

confidence: 99%