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Testicular mass: do not forget filariasis
1Division of Urology, Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000, Kuala Lumpur, Malaysia. chrisckho2002@yahoo.com
Infection
|March 9, 2013
Summary
Filarial parasite infestation of the spermatic cord and testicular tunica is rare, often presenting subtly or mimicking tumors. Histopathology confirmed parasitic infection in a case initially suspected as a testicular tumor.
Area of Science:
- Urology
- Parasitology
- Pathology
Background:
- Filarial parasite infestation of the testicular tunica and spermatic cord is uncommon.
- Clinical presentation can be nonspecific, sometimes mimicking testicular tumors.
Observation:
- A 29-year-old male presented with a 4-month history of left testicular swelling and discomfort.
- Clinical and imaging findings suggested an intrascrotal cystic lesion.
- Intraoperative findings revealed a tumor-like mass necessitating left orchidectomy.
Findings:
- Histopathology confirmed cystic changes in the testicular tunica and spermatic cord due to parasite infection.
- The case highlights the diagnostic challenge of parasitic scrotal disease.
Implications:
- This case underscores the importance of considering parasitic etiologies in scrotal pathology.
- Reviewing literature on scrotal and testicular parasitic diseases is crucial for appropriate management.
- Accurate diagnosis and management strategies for these rare infestations need further discussion.
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