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Scrotal skin nodule: sebaceous cyst or tuberculosis? A lesson learnt!
Jojo Joseph1, Abhinav Menon1, Rudra Ramanathan1
11 Interns, Department of General Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
Tropical Doctor
|April 14, 2018
Summary
Tuberculosis (TB) can mimic various conditions, presenting diagnostic challenges. A rare case of scrotal skin TB, initially suspected as a sebaceous cyst, highlights the need for considering TB in endemic areas.
Area of Science:
- Urology
- Dermatology
- Infectious Diseases
Background:
- Tuberculosis (TB) is a complex infectious disease known for its diverse clinical presentations.
- Sebaceous cysts are common benign skin tumors, frequently found on the scrotum.
Observation:
- A 23-year-old male presented with a painful, hard nodule on the scrotal skin.
- The lesion was clinically diagnosed as an infected, calcified sebaceous cyst.
Findings:
- Histopathological examination of the excised nodule revealed tuberculosis (TB) as the underlying cause.
- Nodular scrotal skin tuberculosis is an exceptionally rare manifestation of TB.
Implications:
- This case underscores the importance of considering tuberculosis in the differential diagnosis of scrotal nodules, especially in TB-prevalent regions.
- Excision and subsequent pathological analysis of suspicious scrotal nodules are crucial for accurate diagnosis and management.
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