1
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Oshiba A, Abdallah D, Abdelaziz M, Ibrahim A, Kotb M, Eshiba S, Rizvi M. Splenogonadal fusion: a case report. J Med Case Rep 2023; 17:515. [PMID: 38098099 PMCID: PMC10722740 DOI: 10.1186/s13256-023-04241-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 11/05/2023] [Indexed: 12/17/2023] Open
Abstract
BACKGROUND Accessory splenic tissue is a commonly encountered phenomenon in medical literature. Typically, these accessory spleens are found in close proximity to the main spleen, either in the hilum or within the surrounding ligaments. Nevertheless, it is noteworthy that they can also be located in unusual sites such as the jejunum wall, mesentery, pelvis, and, exceptionally rarely, the scrotum. The first documented case of accessory splenic tissue in the scrotum was reported by Sneath in 1913 and is associated with a rare congenital anomaly called splenogonadal fusion. This report describes an infant who presented with a scrotal mass noted by his mother and after examination, investigations, and surgical exploration, it was revealed to be splenogonadal fusion. CASE DESCRIPTION An 8-month-old Caucasian male patient presented with a mass in the left testicle and bluish discoloration of the scrotum, which had been incidentally noticed in the previous 2 months. The general physical examination was unremarkable. Other than a palpable scrotal mass that was related to the upper pole of the testis, the rest of examination was unremarkable. Imaging revealed that this mass originated from the tail of the epididymis without infiltrating the testis and tumor markers were normal. On inguinal exploration, a reddish brown 2 × 2 cm mass was found attached to the upper pole and was completely excised without causing any harm to the testis, vessels, or epididymis. Histopathological evaluation confirmed the presence of intratesticular ectopic splenic tissue. CONCLUSION Although uncommon, splenogonadal fusion can be included in the differential diagnosis of a testicular swelling. Accurate diagnosis allows for appropriate treatment planning which helps to avoid unnecessary radical orchiectomy, which can have a significant impact on the patient's reproductive and psychological wellbeing.
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Affiliation(s)
- Ahmed Oshiba
- Faculty of Medicine, University of Alexandria, Alexandria, 21311, Egypt
| | - Dina Abdallah
- Faculty of Medicine, University of Alexandria, Alexandria, 21311, Egypt
| | - Marwa Abdelaziz
- Faculty of Medicine, University of Alexandria, Alexandria, 21311, Egypt
| | - Amir Ibrahim
- Faculty of Medicine, University of Alexandria, Alexandria, 21311, Egypt
| | - Mostafa Kotb
- Faculty of Medicine, University of Alexandria, Alexandria, 21311, Egypt.
| | - Samar Eshiba
- Faculty of Medicine, University of Alexandria, Alexandria, 21311, Egypt
| | - Maryam Rizvi
- Faculty of Life Sciences and Medicine, Guy's, King's and St Thomas' (GKT) School of Medical Education, King's College London, London, UK
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2
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Elyaguov J, Vaserman G, Glucksman E, Matthews G, Phillips J. Epididymal leiomyoadenomatoid tumor: A case report of a rare benign para testicular mass. Urol Case Rep 2022; 46:102302. [PMID: 36568634 PMCID: PMC9772572 DOI: 10.1016/j.eucr.2022.102302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Revised: 12/01/2022] [Accepted: 12/07/2022] [Indexed: 12/12/2022] Open
Abstract
Primary tumors of the epididymis are rare and commonly benign in nature. Leiomyoadenomatoid tumors are a rare subvariant of adenomatoid tumors that combines features of leiomyomas. Tumor histology is notable for tubular spaces lined by mesothelial cells with a proliferative spindle cell component. To the best of our knowledge, few cases have been reported in the literature. We report a case of leiomyoadenomatoid tumor in a 58-year-old male.
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Affiliation(s)
- Jason Elyaguov
- Department of Urology, Westchester Medical Center, New York Medical College, Valhalla, NY, 10595, USA
| | - Grigori Vaserman
- School of Medicine, New York Medical College, Valhalla, NY, 10595, USA,Corresponding author.
| | - Eitan Glucksman
- Department of Urology, Westchester Medical Center, New York Medical College, Valhalla, NY, 10595, USA
| | - Gerald Matthews
- Department of Urology, Westchester Medical Center, New York Medical College, Valhalla, NY, 10595, USA
| | - John Phillips
- Department of Urology, Westchester Medical Center, New York Medical College, Valhalla, NY, 10595, USA
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3
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Maulana R, Siregar S, Hernowo BS. Testicular Epidermoid Cyst: A Rare Case Report. Int J Surg Case Rep 2022; 94:107167. [PMID: 35658319 PMCID: PMC9097686 DOI: 10.1016/j.ijscr.2022.107167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 05/02/2022] [Accepted: 05/02/2022] [Indexed: 12/05/2022] Open
Abstract
INTRODUCTION AN IMPORTANCE Testicular epidermoid cysts (TECs) are rare benign testicular neoplasms. Recently, testicular epidermoid cysts (TECs) are listed as teratoma of prepubertal type, however it is still difficult to differentiate the epidermoid cyst from malign testicular tumor. Therefore, we would like to report testicular epidermoid cyst at our institution. CASE PRESENTATION A 67-year-old man from Indonesia, presented with chronical painless mass of testis since one year ago. On physical examination obtained normal penile structure with descended testicles, palpable intrascrotal mass with size of 10 × 7 × 5 cm, firm consistency, immobile, without any tenderness, and no lymphadenophaty in groin. Scrotal USG showed intratesticular mass, homogenous parenchym, showed no vascularization during Doppler examination. Histopathological examination revealed the specimen of right scrotum with size of 12.5 cm × 8.5 cm × 6.1 cm with red-brownish colored, during lamellation, obtained encapsulated mass with size of 12.2 cm × 7.9 cm × 6 cm, hollowed space filled with porridge-like texture with capsule thickness of 0.1-0.3 cm. CLINICAL DISCUSSION Epidermoid cysts are benign lesions occurring on the skin usually, however, it rarely occurs in intratesticular area. Most of the cases (60%) presented with the typical onion-ring phenomenon. Histopathological findings commonly revealed typical well-defined cyst lined by a fibrous membrane. No skin appendages are found in the cyst's lumen and no germ cell neoplasm (GCN) is present in the adjacent testicular parenchyma. CONCLUSION All testicular masses are considered malignant until proven otherwise. It is necessary to do accurate diagnosis for the prevention of unnecessary radical orchiectomy.
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Affiliation(s)
- Reza Maulana
- Urology Department, Hasan Sadikin Academic Medical Center, Universitas Padjadjaran, Bandung, Indonesia; Urology Department, Universitas Syiah Kuala, Aceh, Indonesia.
| | - Safendra Siregar
- Urology Department, Hasan Sadikin Academic Medical Center, Universitas Padjadjaran, Bandung, Indonesia
| | - Bethy S Hernowo
- Pathology Anatomy Department, Hasan Sadikin Academic Medical Center, Universitas Padjadjaran, Bandung, Indonesia
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4
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Salick M, Chaudhary R, Robledo FM, Datar PB, Htoo A, Shkolnik B, Chong WH, Chopra A, Saha BK. A 26-year old young male with severe anemia. Respir Med Case Rep 2022; 36:101575. [PMID: 35036305 PMCID: PMC8749156 DOI: 10.1016/j.rmcr.2021.101575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Accepted: 12/30/2021] [Indexed: 11/26/2022] Open
Abstract
Testicular choriocarcinoma is a subset of Non-Seminomatous Germ Cell Tumors (NSGT) which is considered the rarest and most aggressive testicular cancer. It primarily affects males between the ages of 25–30 years. Unlike other testicular neoplasms that carry a cure rate of 95%, choriocarcinoma has significantly lower rate of cure. Therefore, early detection and prompt treatment is necessary to improve survival. We present an unusual case of Choriocarcinoma presenting as severe anemia along with distant metastases to lung and brain. We also discuss diagnostic approach and treatment challenges in patients with Choriocarcinoma.
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Affiliation(s)
- Muhammad Salick
- Department of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY, USA
| | - Raghav Chaudhary
- Department of Medicine, Ozarks Medical Center, West Plains, MO, USA
| | | | - Praveen B Datar
- Department of Pulmonary and Critical Care Medicine, Ozarks Medical Center, West Plains, Missouri, USA
| | - Arkar Htoo
- Department of Pathology, Albany Medical Center, Albany, NY, USA
| | - Boris Shkolnik
- Department of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY, USA
| | - Woon Hean Chong
- Department of Intensive Care Medicine, Ng Teng Fong General Hospital, National University Health System, Singapore City, Singapore
| | - Amit Chopra
- Department of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY, USA
| | - Biplab K Saha
- Department of Pulmonary and Critical Care Medicine, Ozarks Medical Center, West Plains, Missouri, USA
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5
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Al-Zubi M, Araydah M, Al Sharie S, Qudsieh SA, Abuorouq S, Qasim TS. Bilateral testicular Leydig cell hyperplasia presented incidentally: A case report. Int J Surg Case Rep 2021; 90:106733. [PMID: 34968979 PMCID: PMC8717230 DOI: 10.1016/j.ijscr.2021.106733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 12/21/2021] [Accepted: 12/22/2021] [Indexed: 11/09/2022] Open
Abstract
Introduction Leydig cell hyperplasia or tumor represents less than 3% of all testicular tumors. It can be defined as an increase in the size and number of Leydig cell within the testicles. These cells are responsible for the production of testosterone in human males. Case presentation Our patient is a forty-eight-year-old male presented with erectile dysfunction and decreased libido for the past six months. Ultrasound of the scrotum show bilateral hypoechoic testicular masses larger on the left size thus left orchidectomy was performed. Histopathology confirmed our diagnosis. Discussion Leydig cell hyperplasia (LCH) is a rare and mostly benign entity that affects both children and adults. In adults, it might be associated with variety of condition including Klinefelter's syndrome, exogenous human chorionic gonadotropin (hCG) therapy, and many others but it mostly occurs idiopathically. Scrotal ultrasound and tumor markers can be used to diagnose most of the patients with LCH. Conclusion LCH should be differentiated from Leydig cell tumor to avoid unnecessary and sometimes harmful intervention in the future. Leydig cell hyperplasia or tumor represents less than 3% of all testicular tumors. Leydig cell hyperplasia (LCH) is a rare and mostly benign entity that affects both children and adults. LCH should be differentiated from Leydig cell tumor (LCT) to avoid unnecessary or harmful interventions.
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Affiliation(s)
- Mohammad Al-Zubi
- Department of Clinical Sciences, Urology Division, Faculty of Medicine, Yarmouk University, Irbid, Jordan.
| | | | | | - Suhair Adel Qudsieh
- Department of Clinical Sciences, Obstetrics and Gynecology Division, Faculty of Medicine, Yarmouk University, Irbid, Jordan
| | - Saleh Abuorouq
- Department of Clinical Sciences, Urology Division, Faculty of Medicine, Yarmouk University, Irbid, Jordan
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Kutsal C, Baloğlu İH, Albayrak AT. Hydrocele accompanying testicular cavernous hemangioma: A infant case report. Int J Surg Case Rep 2021; 82:105844. [PMID: 33848924 DOI: 10.1016/j.ijscr.2021.105844] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 03/23/2021] [Accepted: 03/23/2021] [Indexed: 11/22/2022] Open
Abstract
First infant testicular cavernous hemangimoa report. Cavernous hemangiomas among testicular masses can also be observed in infancy. Hydrocele can make diagnosis and treatment of testicular masses difficult. Testes sparing surgery was performed for care to fertility.
Testicular hemangioma is a rare benign testicular tumor. In this case we presented who an infant applied to our clinic with left scrotal swelling. The tests performed were found to be compatible with testicular hemangioma and accompanying hydrocele. We performed inguinal exploration due to hydrocele accompanying testicular hemangioma. Pathology of tissue was found to be compatible with testicular cavernous hemangioma. In our investigations, it was seen that it was the first infant cavernous hemangioma in the literature.
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7
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Tresoldi AS, Betella N, Hasenmajer V, Pozza C, Vena W, Fiamengo B, Negri L, Cappa M, Lania AGA, Lenzi A, Isidori AM, Pizzocaro A. Bilateral testicular masses and adrenal insufficiency: is congenital adrenal hyperplasia the only possible diagnosis? First two cases of TARTS described in Addison-only X-linked adrenoleukodystrophy and a brief review of literature. J Endocrinol Invest 2021; 44:391-402. [PMID: 32691371 DOI: 10.1007/s40618-020-01362-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Accepted: 07/12/2020] [Indexed: 11/25/2022]
Abstract
BACKGROUND Testicular adrenal rest tumors (TARTs) are benign masses deemed to originate from pluripotent testicular steroidogenic cells that grow under chronic ACTH stimulation. These lesions, occasionally misdiagnosed as Leydig cell tumors (LCTs), are typically described in patients with congenital adrenal hyperplasia (CAH). X-linked adrenoleukodystrophy (X-ALD) is an inherited disorder of beta-oxidation with accumulation of very long chain fatty acids (VLCFAs) in various tissues, and a rare cause of primary adrenal insufficiency (PAI). TARTs have never been associated with X-ALD. CASE 1 DESCRIPTION: A 19-year old male, who had previously undergone bilateral enucleation of presumed LCTs, was referred to our unit. Follow-up scans showed persistent bilateral lesions compatible with TARTs. Biochemical exams revealed PAI but excluded CAH. A serum VLCFAs panel was consistent with X-ALD, with gene testing confirming the diagnosis. Histological revision of the previously resected testicular lesions was compatible with TARTs. Start of glucocorticoid replacement therapy was associated with a reduction of testicular masses. CASE 2 DESCRIPTION: A 26-year old X-ALD male was diagnosed with bilateral testicular lesions compatible with TARTs. These lesions increased after ACTH elevation following switch to modified-release hydrocortisone. Clinical and sonographic findings allowed for a "watchful-waiting" approach, avoiding unnecessary surgery. CONCLUSION These are the first cases reported of TARTs in patients with X-ALD-associated PAI. Testicular lesions in patients with an early onset of ACTH elevation, regardless of the cause, should always be thoughtfully investigated, as they may reveal themselves as TARTs. We suggest that all patients affected from chronic ACTH elevation of a young age of onset should undergo testicular ultrasound in order to evaluate the presence of these lesions. GRT in these patients might also help preserving fertility.
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Affiliation(s)
- A S Tresoldi
- Endocrinology, Diabetology and Medical Andrology Unit, Humanitas Clinical and Research Center - IRCCS -, Via Manzoni, 56, 20089, Rozzano, MI, Italy
- Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
| | - N Betella
- Endocrinology, Diabetology and Medical Andrology Unit, Humanitas Clinical and Research Center - IRCCS -, Via Manzoni, 56, 20089, Rozzano, MI, Italy
- Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
| | - V Hasenmajer
- Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy
| | - C Pozza
- Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy
| | - W Vena
- Endocrinology, Diabetology and Medical Andrology Unit, Humanitas Clinical and Research Center - IRCCS -, Via Manzoni, 56, 20089, Rozzano, MI, Italy.
- Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
| | - B Fiamengo
- Pathology, Humanitas Clinical and Research Center - IRCCS -, Rozzano, MI, Italy
| | - L Negri
- Division of Gynecology and Reproductive Medicine, Humanitas Fertility Center, Humanitas Clinical and Research Center, IRCCS, Rozzano, MI, Italy
| | - M Cappa
- Endocrinology Unit, IRCCS "Bambino Gesù" Children's Hospital, Rome, Italy
| | - A G A Lania
- Endocrinology, Diabetology and Medical Andrology Unit, Humanitas Clinical and Research Center - IRCCS -, Via Manzoni, 56, 20089, Rozzano, MI, Italy
- Department of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini 4, 20090, Pieve Emanuele, MI, Italy
| | - A Lenzi
- Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy
| | - A M Isidori
- Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy
| | - A Pizzocaro
- Endocrinology, Diabetology and Medical Andrology Unit, Humanitas Clinical and Research Center - IRCCS -, Via Manzoni, 56, 20089, Rozzano, MI, Italy
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8
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Aftan MK, Badrawi N, Abdulghaffar S, Abedzadeh AA, albastaki U, Raman LG, Alzeena EFG. Pure testicular choriocarcinoma Cannonball metastases as a presenting imaging feature: A case report and a review of literature. Radiol Case Rep 2021; 16:923-928. [PMID: 33613805 PMCID: PMC7881168 DOI: 10.1016/j.radcr.2021.01.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Revised: 01/27/2021] [Accepted: 01/28/2021] [Indexed: 01/03/2023] Open
Abstract
Pure testicular choriocarcinoma is an extremely rare subtype of nonseminomatous germ cell tumor, accounting for less than 1% of all germ cell tumors and only 0.19% of all testicular tumors. It is a highly aggressive malignant tumor with early multiorgan metastasis and poor prognosis. We present a case of 23-year-old male presented to the hospital with mild hemoptysis which was thought as a sequela of his past COVID-19 pneumonia infection, however; chest radiograph showed multiple rounded cannonball opacities seen throughout both lungs raising the suspicion of metastatic deposits to the lungs. During physical examination, left testicular painless swelling was noted leading to an ultrasound of the scrotum which revealed a left intratesticular infiltrative, heterogeneous mass. Tumor markers, including beta-human chorionic gonadotropin, lactate dehydrogenase and alpha fetoprotein were extremely high. Computed tomography scan of the brain, chest, abdomen, and pelvis showed hemorrhagic metastatic deposits to the brain, chest, and left para-aortic lymph nodes. The patient underwent radical orchiectomy and histopathology reports confirmed the diagnosis of pure testicular choriocarcinoma.
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Affiliation(s)
- Mohanad Kareem Aftan
- Dubai Health Authority, PO Box 4545, Dubai, United Arab Emirates,Corresponding author.
| | - Noor Badrawi
- Dubai Health Authority, PO Box 4545, Dubai, United Arab Emirates
| | | | | | - Usama albastaki
- Dubai Health Authority, PO Box 4545, Dubai, United Arab Emirates
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Lami V, Ruggera L, Nguyen AAL, Fanelli GN, Vianello F, Zattoni F. Rosai-Dorfman Disease: Case Report of an Unusual Testicular Involvement and Review of Literature. Clin Genitourin Cancer 2018; 16:e529-e531. [PMID: 29666019 DOI: 10.1016/j.clgc.2018.03.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2018] [Accepted: 03/21/2018] [Indexed: 10/17/2022]
Affiliation(s)
- Valeria Lami
- Department of Surgery, Oncology, and Gastroenterology-Urology Clinic, University of Padua, Padua, Italy.
| | - Lorenzo Ruggera
- Department of Surgery, Oncology, and Gastroenterology-Urology Clinic, University of Padua, Padua, Italy
| | - Alex Anh Ly Nguyen
- Department of Surgery, Oncology, and Gastroenterology-Urology Clinic, University of Padua, Padua, Italy
| | - Giuseppe Nicolò Fanelli
- Department of Medicine, Surgical Pathology, and Cytopathology Unit, University of Padua, Padua, Italy
| | - Fabio Vianello
- Department of Surgery, Oncology, and Gastroenterology-Urology Clinic, University of Padua, Padua, Italy
| | - Filiberto Zattoni
- Department of Surgery, Oncology, and Gastroenterology-Urology Clinic, University of Padua, Padua, Italy
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10
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Janssen KM, Willis CJ, Anderson M, Gelnett MS, Wickersham EL, Brand TC. Filariasis Orchitis-Differential for Acute Scrotum Pathology. Urol Case Rep 2017; 13:117-119. [PMID: 28507911 PMCID: PMC5426035 DOI: 10.1016/j.eucr.2017.04.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2017] [Accepted: 04/11/2017] [Indexed: 12/05/2022] Open
Abstract
Granulomatous Orchitis secondary to lymphatic filiarisis is a rare diagnosis within the United States. We report a case of a 22yo Male from Sri Lanka, with a new onset scrotal swelling and palpable right testicular mass. Ultrasound identified a 1 cm right testicular mass with signs of tunica albuginea invasion. A right inguinal radical orchiectomy was performed and pathology showed Filarial orchitis. This report describes the detailed history, physical exam, and diagnostic workup and treatment options for a rare entity for acute scrotal pathology.
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Affiliation(s)
- Karmon M Janssen
- Madigan Army Medical Center, Urology Department, Tacoma, WA 98431, USA
| | - Cornelia J Willis
- Madigan Army Medical Center, Urology Department, Tacoma, WA 98431, USA
| | - Mark Anderson
- Madigan Army Medical Center, Urology Department, Tacoma, WA 98431, USA
| | - Mary S Gelnett
- Madigan Army Medical Center, Pathology Department, Tacoma, WA 98431, USA
| | - Emily L Wickersham
- Madigan Army Medical Center, Pathology Department, Tacoma, WA 98431, USA
| | - Timothy C Brand
- Madigan Army Medical Center, Urology Department, Tacoma, WA 98431, USA
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Abstract
Splenogonadal fusion (SGF) is a rare cause of testicular mass with the vast majority of cases presenting in men under the age of 30 and represents a diagnostic challenge. Discontinuous splenogonadal fusion presenting as a new testicular mass in a 55-year-old man is discussed to aid other surgeons in diagnosing this condition.
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Affiliation(s)
- Andrew M Harris
- Paul B. Hall Regional Medical Center, 625 James S. Trimble Blvd, Paintsville, KY 41240, USA
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12
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Marianovsky V, Bogdanova O, Tsvetkov M, Serteva D, Mladenov B. Testicular Adrenal Rest Tumors (TARTS) With Unusual Histological Features in Congenital Adrenal Hyperplasia (CAH). Urol Case Rep 2016; 3:126-8. [PMID: 26793526 PMCID: PMC4672664 DOI: 10.1016/j.eucr.2015.04.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2015] [Revised: 04/23/2015] [Accepted: 04/24/2015] [Indexed: 11/29/2022] Open
Abstract
Congenital adrenal hyperplasia (CAH) patients with testicular adrenal rest tumors (TARTs) with testicular enlargement present a serious diagnostic challenge. According to the data TARTs are usually benign. They are rare, resulting in paucity in the medical literature regarding their pathological features. We report a case of bilateral synchronous mass-forming TARTs with marked cytological and nuclear atypia misinterpreted as malignant testicular tumors in a 40-years-old man with CAH and CT and MRI data for pheochromocytoma of the right adrenal gland and paraaortal and paracaval lymphadenomegaly. He was previously diagnosed with adrenal cortical carcinoma of the left adrenal gland.
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Affiliation(s)
- Valeri Marianovsky
- Department of General and Urgent Urology, University General Hospital for Emergency Medicine "N.I. Pirogov", General Eduard Totleben 21 Blvd, 1606 Sofia, Bulgaria
| | - Olga Bogdanova
- Department of General and Clinical Pathology, University General Hospital for Emergency Medicine "N.I. Pirogov", General Eduard Totleben 21 Blvd, 1606 Sofia, Bulgaria
| | - Milen Tsvetkov
- Department of General and Urgent Urology, University General Hospital for Emergency Medicine "N.I. Pirogov", General Eduard Totleben 21 Blvd, 1606 Sofia, Bulgaria
| | - Denitsa Serteva
- Department of General and Clinical Pathology, University General Hospital for Emergency Medicine "N.I. Pirogov", General Eduard Totleben 21 Blvd, 1606 Sofia, Bulgaria
| | - Boris Mladenov
- Department of General and Urgent Urology, University General Hospital for Emergency Medicine "N.I. Pirogov", General Eduard Totleben 21 Blvd, 1606 Sofia, Bulgaria
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