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Seminoma or sarcoid?
M Emberton1, B W Ellis, G M Duchesne
1Department of Surgery, Ashford Hospital, Middlesex, UK.
Abstract:
A 33-year-old man subsequently diagnosed as having sarcoidosis presented with the clinical features of a testicular tumour with metastatic spread to para-aortic lymph nodes. Histological examination of the testis and para-aortic lymph node biopsy showed florid granulomatous change and a Kveim test was positive. This is a previously unreported presentation of sarcoidosis and emphasizes that histological confirmation of malignancy is essential prior to institution of cytotoxic therapy.