Testicular Tuberculosis That Mimicked Testicular Cancer

Won Jin Kim; Kyung Hwa Shin; Mi Hyun Kim; Woo Hyun Cho; Kwangha Lee; Ki Uk Kim; Doo Soo Jeon; Hye-Kyung Park; Yun Seong Kim; Min Ki Lee; Soon Kew Park

doi:10.3947/ic.2011.43.1.68

Journal List > Infect Chemother > v.43(1) > 1035131

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Kim, Shin, Kim, Cho, Lee, Kim, Jeon, Park, Kim, Lee, and Park: Testicular Tuberculosis That Mimicked Testicular Cancer

Case Report

Infection & Chemotherapy

Infection & Chemotherapy 2011; 43(1): 68-71.

Published online: 28 February 2011

DOI: https://doi.org/10.3947/ic.2011.43.1.68

Testicular Tuberculosis That Mimicked Testicular Cancer

Won Jin Kim, Kyung Hwa Shin, Mi Hyun Kim, Woo Hyun Cho, Kwangha Lee, Ki Uk Kim, Doo Soo Jeon, Hye-Kyung Park, Yun Seong Kim, Min Ki Lee, Soon Kew Park

Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.

Correspondence to Ki Uk Kim, M.D. Department of Internal Medicine, Pusan National University Hospital, 1-10 Ami-dong, Seo-gu, Busan 602-739, Korea. Tel: +82.51-240-7804, Fax: +82.51-254-3127, uk303@hanmail.net

Received 7 July 2010 Revised 22 July 2010 Accepted 20 September 2010

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Urogenital tuberculosis, Urogenital cancer, Testicular cancer

Figures and Tables

Figure 1

On the ultrasonographic images, the right testis shows enlargement and inhomogeneous echogenecity. On the color Doppler images, the right testis shows increased vascularity (A). The enhanced CT scan reveals an enlarged right testis, which demonstrated inhomogenous density and necrotic foci (B).

Figure 2

The chest radiograph shows fibrocalcified nodules in both upper lobes (A). The chest CT reveals centrilobular nodules and a tree-in bud pattern in both upper lobes (B).

Figure 3

Pathologic examination demonstrats normal testicular tissue on the left lower corner, while with necrotizing granulomas and Langerhans cells (arrows) on the center (H&E stain, ×100).

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