Hacıosmanoğlu Taner, Türk Semih, Baloğlu İbrahim H, Yavuzsan Eminegül, Yavuzsan Abdullah H
Urology, Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Istanbul, TUR.
Pulmonology and Critical Care, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, TUR.
Cureus. 2022 Apr 9;14(4):e23982. doi: 10.7759/cureus.23982. eCollection 2022 Apr.
Sarcoidosis is a granulomatous inflammatory disease that could potentially involve multiple organ systems. It causes noncaseating granulomas in tissues, and at least two organs must be involved to make a diagnosis. In sarcoidosis patients, if there is a mass in the testicles, a testicular biopsy should be performed to exclude malignancies because of infrequent testicular involvement. We present a 23-year-old male diagnosed with sarcoidosis who had a bilateral testicular mass. A testicular biopsy was performed because of bilateral involvement. The biopsy revealed a diagnosis of sarcoidosis. After high-dose steroid treatment, the lesions regressed. This paper presents a sarcoidosis case with testicular involvement that imitates testicular tumors. Testicular tumors and testicular involvement of sarcoidosis are two different pathologies that may mimic each other, confuse clinicians, and/or lead to misdiagnosis and mistreatment.
结节病是一种可能累及多个器官系统的肉芽肿性炎症性疾病。它会在组织中形成非干酪样肉芽肿，且诊断时至少必须累及两个器官。在结节病患者中，如果睾丸出现肿块，由于睾丸受累情况不常见，应进行睾丸活检以排除恶性肿瘤。我们报告一例23岁诊断为结节病的男性患者，其双侧睾丸有肿块。因双侧受累而进行了睾丸活检。活检结果显示为结节病。高剂量类固醇治疗后，病变消退。本文介绍了一例模仿睾丸肿瘤的结节病累及睾丸的病例。睾丸肿瘤和结节病累及睾丸是两种不同的病理情况，它们可能相互模仿，使临床医生感到困惑，和/或导致误诊和误治。
