Abstract
Isolated testicular Tuberculosis (TB) is a rare clinical condition. A 36-year old male patient presented to our clinic with an 8-month history of a painless mass in the right testis. No sign of tuberculosis was present and the physical examination revealed a solid mass arising from the upper pole of the right testis. The chest radiograph, urine examination, and tumor markers were normal, and lactate dehydrogenase was elevated. Scrotal ultra sonography and magnetic resonance imaging revealed a contrast-enhancing mass, 15x10 mm in size, in the upper pole of the right testis with normal epididymis and testicular blood flow. Due to the possibility of diagnosis of right testicular cancer, right inguinal partial orchiectomy was performed. The patient presented with tuberculotic granuloma with caseous necrosis in histopathological examination. The purified protein derivative test was positive (20 mm). No Acid-Resistant Bacilli (ARB) was found in culture of sputum and no tuberculosis bacilli were found in smear and culture. To date, no clinical method has been defined for the definitive diagnosis of such cases and the definitive diagnosis is only achieved by surgical exploration and histopathological examination.
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