Testicular sarcoidosis: case report and review of the literature.

We report a case of clinically evident and histologically proved sarcoidosis of the testicle. Six cases have been reported in the literature. This condition is present most commonly in black patients. Sarcoidosis is known to be associated with malignancy and several cases of coexistent testicular cancer have been reported in the white population. Management should include complete testicular neoplasia diagnostic studies, biopsy of peripheral or mediastinal lymph nodes, and radical orchiectomy in cases of unilateral lesions. Testicular biopsy from the inguinal approach and frozen section evaluation may be considered in bilateral lesions or in the patient with previous orchiectomy for testicular sarcoidosis.