Sarcoidosis presenting as a testicular mass

Abstract

were elevated, but AFP, bhCG and calcium levels were Case report normal. Heaf testing was negative, despite BCG vaccination in childhood. The rapid growth of the mass in A 30-year-old Afro-Caribbean man presented with a painless lump in his right scrotum. He also complained his right testis and epididymis necessitated a right orchidectomy, because of concern that the underlying of a dry cough and night sweats. His medical history was otherwise unremarkable. Examination revealed a pathology might have been neoplastic. Histology showed diCuse granulomatous epididymitis and orchitis. firm mass attached to his right epididymis and multiple skin lipomata. Testicular ultrasonography detected mul-The granulomata were non-caeseating and no mycobacteria were identified by appropriate staining (Fig. 2). tiple hypo-echoic areas in both epididymes and testes, with a palpable nodule measuring 17 mm across. TheseThe conjunction of histological, ultrasonographic and chest radiographic findings were strongly supportive of were reported as consistent with granulomatous inflammation or lymphomatous infiltration ( Fig.

Granulomatous epididymo-orchitis: diagnosis by fine needle aspiration

“…A painless, solid testicular or scrotal lump is generally considered malignant with only rare exceptions, 2 which may be grouped under infective and non-infective causes of granulomatous epididymo-orchitis. [5][6][7] Its varied aetiology includes TB, brucellosis, syphilis, lepromatous leprosy, fungal infection, sarcoidosis, malakoplakia and xanthogranulomatous, and idiopathic changes. 1 TB is by far the most common.…”

Sarcoidose na infância com manifestações raras: vasculite, acometimento do sistema nervoso central, ósseo e genital

“…Encontramos na literatura poucos relatos de caso (9)(10)(11)(12)(13)(14) nos quais, em pacientes submetidos à propedêutica de massa paratesticular, foi diagnosticado sarcoidose. Kodama K et al (13) relatam somente 59 casos descritos na literatura de sarcoidose com acometimento do trato genital comprovado histologicamente.…”