Extensive Systemic Sarcoidosis with Testicular Involvement Mimicking Metastatic Testicular Cancer
김윤범, 정연구, 김상진, 김세중, 안현수, 주희재, 김선일,
소속 상세정보
김윤범 ( Kim Yun-Beom )
Seoul Veterans Hospital Department of Urology
정연구 ( Chung Yeun-Goo )
Yonsei University College of Medicine Department of Urology
김상진 ( Kim Sang-Jin )
Ajou University School of Medicine Department of Urology
김세중 ( Kim Se-Joong )
Ajou University School of Medicine Department of Urology
안현수 ( Ahn Hyun-Soo )
Ajou University School of Medicine Department of Urology
주희재 ( Joo Hee-Jae )
Ajou University School of Medicine Department of Pathology
김선일 ( Kim Sun-Il )
Ajou University School of Medicine Department of Urology
KMID : 0358320110520040295
Abstract
Sarcoidosis is an idiopathic, multisystem disease that rarely involves the genitourinary tract. Here we present an unusual case of testicular sarcoidosis with extensive lymphadenopathy that mimicked a metastatic testicular tumor. A 27-year-old male presented with a palpable right testicular mass accompanied by multiple palpable inguinal lymph nodes. The scrotal ultrasound showed a hypoechoic lesion at the inferior portion of the right testis. Extensive enlarged lymph nodes were noted in multiple areas on the abdominal computed tomography. Preoperative testicular tumor markers were within the normal range. Exploration of the right testis with a frozen section analysis of the right testicular mass and of a palpable right inguinal lymph node showed granulomatous inflammation. The testis was salvaged and the final pathological diagnosis was sarcoidosis. Treatment with high-dose corticosteroids resulted in complete resolution of the intratesticular mass and a significant decrease in the extent of the lymphadenopathy.
키워드
Lymphatic diseases; Sarcoidosis; Steroids; Testicular neoplasms; Testis
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