Franck Lohourou Grah, Célestin Bénié Adoubs, Ibrahim Traoré, Bertrand Kpangni Ahua Jean, Ange Rebecca Kobenan Attaa, Rose Nandiolo Koné
Pediatric Surgery Unit of the Bouaké Teaching Hospital University Alassane Ouattara, Bouaké, Côte d'Ivoire.
Department of Anatomy Pathology of the Bouake Teaching Hospital, University Alassane Ouattara, Bouaké, Côte d'Ivoire.
Urol Case Rep. 2025 May 1;61:103056. doi: 10.1016/j.eucr.2025.103056. eCollection 2025 Jul.
Spermatic cord tuberculosis with testicular involvement is rare and can closely resemble a testicular tumor, particularly in patients with no prior history of tuberculosis. A 5-year-old child presented with a left inguino-scrotal mass of 1 month's duration and underwent left orchiectomy after a presumptive diagnosis of a testicular tumor. Histopathological diagnosis revealed spermatic cord tuberculosis with testicular involvement. The patient followed the tuberculosis management protocol. At 18 months of follow-up, a good clinical outcome was observed. This condition presents a diagnostic dilemma similar to that of a testicular tumor. Orchiectomy can be avoided if frozen section examination is performed.
伴有睾丸受累的精索结核较为罕见，且极易与睾丸肿瘤相似，尤其是在既往无结核病史的患者中。一名5岁儿童出现持续1个月的左侧腹股沟阴囊肿物，在初步诊断为睾丸肿瘤后接受了左侧睾丸切除术。组织病理学诊断显示为伴有睾丸受累的精索结核。该患者遵循了结核病治疗方案。随访18个月时，观察到良好的临床结果。这种情况呈现出与睾丸肿瘤相似的诊断困境。如果进行冰冻切片检查，可避免睾丸切除术。
