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[A case of spermatic cord tuberculosis]
Atsushi Yoshinaga1, Nobutaka Ichiyanagi, Rena Ohno
1Department of Urology, Saitama Medical Center, Saitama Medical School.
Hinyokika Kiyo. Acta Urologica Japonica
|August 5, 2003
Summary
A scrotal mass in a 47-year-old man was diagnosed as tuberculosis of the spermatic cord. This rare presentation highlights the importance of considering tuberculosis in intrascrotal lesions.
Area of Science:
- Urology
- Infectious Diseases
- Pathology
Background:
- Intrascrotal masses can present with varied etiologies, necessitating thorough diagnostic evaluation.
- Spermatic cord tumors are rare, and tuberculosis affecting the spermatic cord is an even less common finding.
Observation:
- A 47-year-old male presented with a right intrascrotal mass.
- Ultrasonography revealed a 2.5 x 1.3 x 0.7 cm low echoic lesion in the right scrotum.
- Initial diagnosis suggested a right spermatic cord tumor.
Findings:
- Microscopic examination of the resected mass showed a granulomatous lesion with Langhans giant cells.
- The patient's tuberculin skin test was strongly positive.
- Histopathological findings confirmed tuberculosis of the spermatic cord.
Implications:
- This case underscores the importance of considering extragenital tuberculosis in the differential diagnosis of intrascrotal masses.
- Early and accurate diagnosis of spermatic cord tuberculosis is crucial for appropriate management and preventing complications.
- Further research into the prevalence and diagnostic challenges of spermatic cord tuberculosis may be warranted.