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Updated: Jun 18, 2026
03:10
Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
Published on: March 31, 2023
[Epididymal sarcoidosis: a case report]
Takeshi Sasaki1, Norihito Soga, Manabu Miki
1The Department of Nephrourologic Surgery and Andrology, Mie University Graduate School of Medicine.
Hinyokika Kiyo. Acta Urologica Japonica
|November 21, 2009
Summary
A rare case of epididymis sarcoidosis presented with poor vision and scrotal mass. Systemic evaluation confirmed sarcoidosis, leading to steroid ocular instillation therapy.
Area of Science:
- Ophthalmology
- Urology
- Pathology
Background:
- Sarcoidosis is a multisystem inflammatory disease characterized by non-caseating granulomas.
- Ocular and genitourinary involvement are known manifestations of sarcoidosis, though rare.
- Epididymal sarcoidosis is an exceptionally uncommon presentation.
Observation:
- A 33-year-old male presented with poor vision and a suspected metastatic nodule in the right iris.
- Systemic imaging revealed a scrotal mass, enlarged iliac, mediastinal, and supraclavicular lymph nodes.
- Intraoperative biopsy of a palpable epididymal mass showed no malignancy, leading to open biopsy.
Findings:
- Pathological examination of the epididymal tissue demonstrated non-caseating epithelioid cell granulomas.
- The final diagnosis of sarcoidosis was established based on pathological findings and systemic evaluations.
- This represents the 18th reported case of epididymis sarcoidosis in Japan.
Implications:
- Highlights the importance of considering sarcoidosis in the differential diagnosis of scrotal masses and ocular inflammation.
- Emphasizes the need for thorough systemic evaluation in cases of suspected malignancy with atypical findings.
- Suggests steroid ocular instillation as a potential treatment modality for ocular manifestations of sarcoidosis.
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