Sarcoidosis of the testis: a case report

A left testicular mass was found in a 34-year-old black man with a history of multisystem sarcoidosis of 7½ years duration. Microscopic examination of the excised testicle revealed noncaseating granulomas throughout, as well as a few such lesions in the epididymis. This is the seventh reported, microscopically proven case of sarcoidosis of the testis without significant epididymal involvement occurring in a living individual.A review of the other cases of testicular sarcoidosis in the literature reveals that most of them had a number of organs involved with this disease, similar to the subject of this report. Over one half of these patients had skin lesions with or without bone or joint manifestations, suggesting that the testis should be evaluated with particular care when any of these areas are involved. If there is a consistent association of skin, bone, and testicular lesions in this disease, genital sarcoidosis may be more common than presently thought.