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Intrascrotal involvement of sarcoidosis presenting like testicular appendices
Author(s) -
Obinata Daisuke,
Yamaguchi Kenya,
Hirano Daisaku,
Fuchinoue Aya,
Nemoto Norimichi,
Takahashi Satoru
Publication year - 2007
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2006.01602.x
Subject(s) - medicine , sarcoidosis , pulmonary sarcoidosis , pathological , histopathological examination , radiology , pathology
A 31‐year‐old male visited our clinic with a complaint of painless intrascrotal mass in the left side. He had been diagnosed with pulmonary sarcoidosis 6 years prior. Scrotal ultrasound revealed a distinct mass measuring 18 mm × 16 mm at the left epididymal tail. An epididymectomy was performed for treatment and pathological diagnosis. Four nodules shaped like testicular appendices were also found on the testicular surface and subsequently removed. Histopathological examination established that both the epididymal and appendix‐like lesions consisted of non‐caseating epithelioid granulomas with giant cells, and were diagnosed as sarcoidosis. The patient has no recurrence of intrascrotal lesions after 6‐month follow up. This is the first report of intrascrotal involvement of sarcoidosis presenting like testicular appendices.