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Benign Testis Mass After Viral Infection.
Robbie Hurtt1, Charles Pound1, Christopher Bean1
1University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, USA.
Urology Case Reports
|February 23, 2017
Summary
Viral orchitis can mimic testicular cancer, leading to unnecessary surgeries. This report details two cases where orchitis was mistaken for malignancy, highlighting the need for careful diagnosis and management strategies for testicular masses.
Area of Science:
- Urology
- Oncology
- Pathology
Background:
- Viral orchitis is an inflammation of the testicle caused by a viral infection.
- Testicular masses can be concerning for malignancy, requiring prompt evaluation.
- Distinguishing between inflammatory and neoplastic testicular conditions is clinically important.
Observation:
- Two patients presented with testicular masses following viral orchitis.
- Physical examination and scrotal ultrasound raised concerns for malignancy in both cases.
- Both patients underwent radical orchiectomy for suspected testicular cancer.
Findings:
- Pathologic analysis confirmed both testicular masses were benign and not malignant.
- A literature review found no similar reported cases of viral orchitis presenting as a suspicious mass.
- Viral orchitis can present as a testicular mass, mimicking malignancy.
Implications:
- This highlights the importance of considering viral orchitis in the differential diagnosis of testicular masses.
- Conservative management strategies may be appropriate in select cases of orchitis presenting as a mass.
- Further research is needed to understand the presentation and management of viral orchitis-associated testicular masses.
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