Infect Chemother.  2011 Feb;43(1):68-71. 10.3947/ic.2011.43.1.68.

Testicular Tuberculosis That Mimicked Testicular Cancer

• Kim WJ
• Shin KH
• Kim MH
• Cho WH
• Lee K
• Kim KU
• Jeon DS
• Park HK
• Kim YS
• Lee MK
• Park SK

• KMID: 2170337
• DOI: http://doi.org/10.3947/ic.2011.43.1.68

Abstract

Next to lymphatic involvement, genitourinary tuberculosis is considered the second most common manifestation of extrapulmonary tuberculosis worldwide. However, testicular and spermatic cord involvement is uncommon. We report here on a case of testicular and spermatic cord tuberculosis that masqueraded as testicular cancer. A 25-year-old man was admitted to our hospital with painless right scrotal swelling for past 2 months. The abdominal CT scan showed a heterogenous testicular mass that was suspicious for being malignancy. He underwent right radical orchiectomy; testicular and spermatic cord tuberculosis was revealed on histopathological examination. This case highlights the importance of taking a thoughtful diagnostic approach for testicular and spermatic cord tuberculosis, including fine needle aspiration before performing surgical exploration.

Keyword

Urogenital tuberculosis; Urogenital cancer; Testicular cancer

MeSH Terms

Adult
Biopsy, Fine-Needle
Humans
Spermatic Cord
Testicular Neoplasms
Tuberculosis
Tuberculosis, Urogenital
Urogenital Neoplasms

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