Isolated testicular tuberculosis mimicking a testicular tumor

İzole testiküler tüberküloz ( TB ) nadiren görülmektedir. 38 yaşındaki erkek hasta 2 aydan beridir gelişen sağ skrotumdaki ağrısız şişlik şikayeti ile başvurdu. Hastada TB hikayesi yoktu. Fizik muayenede sağ testisten gelişen sert kitle saptandı. Akciğer grafisi, testis tümör belirleyicileri ve idrar tetkiki normaldi. Abdomino-pelvic ultrasonografi ( US ) ve Bilgisayarlı tomografi polikistik böbrek olması dışında normaldi. Skrotal US'de 3x2 cm boyutunda kistik ve solid komponent içeren kitle görüldü ve epididim normaldi. Sağ testis tümörü olma olasılığı nedeniyle sağ radikal inguinal orşiektomi yapıldı. Histolojik değerlendirmede tüberkülotik granüloma, kazeifikasyon nekrozu ve Langhans tipi dev hücreler görüldü. Hasta 6 ay TB tedavisi aldı. Ne şansızlıktır ki, günümüzde bu tip olgularda kesin tanı koyabilecek klinik bir metod mevcut değildir ve olguların çoğuna bu vakada olduğu gibi, testis kanserini ekarte etmek için hala orşiektomi yapılmaktadır.

Testis tümörünü taklit eden izole tüberküloz orşit

Isolated testicular tuberculosis ( TB ) is rarely seen. A 38-year-old man was admitted with the complaints of painless swelling in the right hemiscrotum for preceeding two months. The patient had no sign of tuberculosis. Examination revealed a firm mass arising from the right testis. The chest radiograph, testicular tumor markers and urine examination were normal. Abdomino-pelvic ultrason ( US ) and Computed Tomography were normal except the presence of polycystic kidney. Scrotal US showed a 3x2 cm mass with cystic and solid components and normal epididymis. Under the possibility of diagnosis of right testicular tumor, right radical inguinal orchiectomy was performed. Histological examination revealed the presence of tuberculotic granuloma with necrotic caseation and Langhans type giant cells. The patient received anti-TB treatment for 6 months. Unfortunately, today, there are no clinical methods to make definitive diagnosis in such cases, and like this case, most of the patients are still undergone orchiectomy for ruling out a testicular tumor..

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