Testicular sarcoidosis

Opal, Steven M.; Pittman, David L.; Hofeldt, Fred D.

doi:10.1016/0002-9343(79)90091-3

Cited by 22 publications

(5 citation statements)

References 18 publications

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“…In our case, we did not observe any initial alterations in serum blood values and, as such, did not measure them throughout the prednisone treatments. Similar to our findings, 2 other case reports (Opal et al, 1979;Takiguchi et al, 2008) also noted no hormonal abnormalities on initial presentation.…”

Section: Maclennansupporting

confidence: 92%

Diagnosis and Treatment of Azoospermia Resulting From Testicular Sarcoidosis

Kovac

Flood

Mullen

et al. 2012

Journal of Andrology

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Genitourinary sarcoidosis is uncommon, with only rare documented cases of testicular involvement reported. We detail the case of a 37-year-old male who initially presented for azoospermia and secondary infertility. A testicular biopsy revealed nonnecrotizing granulomas and a chest x-ray identified perihilar lymphadenopathy and granulomatous lung nodules. A corticosteroid regimen was administered, and routine semen analyses were conducted. Significant improvements were noted after prednisone treatments. A successful in vivo fertilization was obtained. This is the first known case of testicular sarcoidosis diagnosed during investigations into azoospermia and secondary infertility which, after treatment with corticosteroids, resulted in natural fertilization.

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Section: Maclennansupporting

confidence: 92%

Diagnosis and Treatment of Azoospermia Resulting From Testicular Sarcoidosis

Kovac

Flood

Mullen

et al. 2012

Journal of Andrology

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“…Granuloma of the epididymis is the most common manifestation of sarcoid involvement of the genital tract (5). Epididymal involvement is usually unilateral, nodular, and painless; however, bilateral lesions and patients who experience either acute or recurrent epididymitis have been described (6).…”

Section: Discussionmentioning

confidence: 99%

Intermittent azoospermia associated with epididymal sarcoidosis

Svetec

Waguespack

Sabanegh

1998

Fertility and Sterility

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“…It is known for its variable systemic presentations (63,64). Urologic manifestations are seen in only 5% of autopsy specimens (5).…”

Section: Sarcoidosismentioning

confidence: 99%

Non neoplastic intratesticular masses

Bhatt¹,

Jafri²,

Wasserman³

et al. 2009

Diagn Interv Radiol

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High-frequency ultrasonography is the first modality of choice for the evaluation of scrotal pathology. The use of high-frequency ultrasound is increasing, allowing detection and better characterization of many benign intrascrotal lesions that can be treated with non-surgical management or testicular-sparing surgery.This pictorial essay presents gray-scale and color-flow Doppler features of non-neoplastic intratesticular masses. For ease of understanding, the review is organized into three major categories: cystic, vascular, and solid non-neoplastic masses. Table summarizes the key sonographic features, each with recommended management. Sonographic anatomy of the testisThe normal adult testes in each hemi scrotum are symmetric in size and measure approximately 5x3x2 cm. On ultrasound, a normal testis is identified by the presence of homogeneous, medium-level echoes and is contained by a fibrous sheath called the tunica albuginea. The tunica albuginea is identified on ultrasound as a thin echogenic line around the testis and is externally covered by the tunica vaginalis. The tunica vaginalis consists of visceral and parietal layers that are normally separated by a few milliliters (2-3 mL) of fluid. The tunica attaches to the scrotal wall at the posterolateral aspect of the testis. From the posterior aspect of the testis, the tunica albuginea invaginates within the testis to form an incomplete septum, called the mediastinum testis. Sonographically, the mediastinum testis appears as an echogenic band of variable thickness that extends across the testis in the longitudinal axis (Fig. 1). Multiple fibrous septa extend from the mediastinum into the testis, dividing it into 250 to 400 lobules. Spermatogenesis occurs within the seminiferous tubules contained within these lobules. The seminiferous tubules open into dilated spaces called the rete testis within the mediastinum via the tubuli recti. The normal rete testis can be seen on high-frequency US in 18% of patients. (1). The rete testis drains into the epididymis via 10 to 15 efferent ductules.There are four testicular appendages (remnants of the mesonephric and paramesonephric ducts): the appendix testis (hydatid of Morgagni), the appendix epididymis, the vas aberrans, and the paradidymis. The appendix testis and the appendix epididymis are commonly seen on scrotal US. The appendix testis is a small ovoid structure usually at the upper pole of the testis in the groove between the testis and the epididymis, better seen by the presence of fluid around the testis.The testes are supplied by testicular arteries that arise from the abdominal aorta. The testicular arteries enter the spermatic cord at the deep inguinal ring and continue along the posterior surface of the testis, penetrating the tunica albuginea and forming the capsular arteries that course through the tunica vasculosa, which underlies the tunica ABDOMINAL IMAGING PICTORIAL ESSAY Imaging of non-neoplastic intratesticular massesShweta Bhatt, Syed Zafar H. Jafri, Neil Wasserman, Vikram S. Dogra ABSTRACTThe u...

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Testicular sarcoidosis

Cited by 22 publications

References 18 publications

Diagnosis and Treatment of Azoospermia Resulting From Testicular Sarcoidosis

Diagnosis and Treatment of Azoospermia Resulting From Testicular Sarcoidosis

Intermittent azoospermia associated with epididymal sarcoidosis

Non neoplastic intratesticular masses

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