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Testicular tuberculosis mimicking testicular malignancy
Susmita Kundu1, Amitabha Sengupta, Atin Dey
1Department of Chest, Calcutta National Medical College and Hospital, Kolkata 700014.
Journal of the Indian Medical Association
|November 8, 2003
Summary
Testicular tuberculosis can cause significant scrotal swelling in young men. Fine needle aspiration cytology is crucial for diagnosing this condition when imaging is inconclusive, with conservative management often effective.
Area of Science:
- Urology
- Infectious Diseases
- Pathology
Background:
- Scrotal swelling is a common urological complaint, necessitating accurate diagnosis.
- Testicular tuberculosis is a rare but important differential diagnosis, particularly in endemic regions.
- Diagnostic challenges arise when clinical presentation and initial imaging are non-specific.
Observation:
- A 22-year-old male presented with a 5-month history of right-sided scrotal swelling.
- The swelling was orange-sized, firm, hard, and mildly tender upon examination.
- Testicular ultrasonography did not yield a definitive diagnosis.
Findings:
- Fine needle aspiration cytology (FNAC) of the testicular swelling confirmed testicular tuberculosis.
- The diagnosis was established despite inconclusive ultrasonographic findings.
- Conservative management strategies resulted in a satisfactory outcome.
Implications:
- Highlights the importance of FNAC in diagnosing testicular tuberculosis when imaging is equivocal.
- Suggests that testicular tuberculosis should be considered in the differential diagnosis of persistent scrotal masses.
- Indicates the potential efficacy of conservative management for testicular tuberculosis, avoiding extensive surgical intervention.