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[Spermatic cord tuberculosis: a case report].

Naoki Segawa1, Hirokazu Abe, Takeshi Nishida

  • 1The Department of Urology, Shizuoka Saiseikai General Hospital.

Hinyokika Kiyo. Acta Urologica Japonica
|June 28, 2005
PubMed
Summary

A rare case of tuberculosis affecting the spermatic cord presented as an inguinal mass in a 65-year-old man. Diagnosis was confirmed via biopsy and skin testing, leading to successful chemotherapy treatment.

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Area of Science:

  • Urology
  • Infectious Diseases
  • Pathology

Background:

  • Tuberculosis (TB) is a significant global health issue.
  • Spermatic cord tumors are rare, necessitating differential diagnosis for inguinal masses.

Observation:

  • A 65-year-old male presented with a left inguinal mass.
  • Past medical history revealed tuberculosis.
  • A suspected left spermatic cord tumor led to high orchiectomy.

Findings:

  • The excised mass measured 4x2x1.5 cm and was separate from the testis and epididymis.
  • Microscopic examination revealed a granulomatous lesion with Langhans giant cells.
  • A moderately positive tuberculin skin test supported the diagnosis.

Implications:

Related Experiment Videos

  • This case highlights tuberculosis as an unusual cause of spermatic cord masses.
  • Prompt diagnosis and antituberculous chemotherapy are crucial for effective management.
  • Spermatic cord tuberculosis requires consideration in the differential diagnosis of inguinal masses, especially in patients with a history of TB.