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Testicular Sarcoidosis: Diagnostic Approach and Management Strategies
Brice Ballet1, Marc Roelandt2, Fabrice Lockefeer3
1Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, BEL.
Abstract:
Sarcoidosis is a multisystem disorder which, in rare cases, can affect the urogenital tract. The clinical presentation of this benign inflammatory disorder can easily mimic that of testicular malignancy. Therefore, it is crucial to differentiate between these two entities, as misdiagnosis may lead to unnecessary surgical interventions, which have important implications for future fertility. While testicular cancer must always be ruled out, sarcoidosis should be considered in all patients presenting with a testicular mass. Here, we present a case of sarcoidosis with bilateral epididymal and testicular involvement. The diagnosis was made by frozen section and the patient was treated with corticosteroids.
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