Abstract
Isolated tuberculous epididymo-orchitis may closely mimic testicular tumour particularly in patients with no history of systemic TB thereby presenting a diagnostic and treatment challenges. A 44-year old man presented with 4 months history of left scrotal mass and had left orchidectomy following a presumptive diagnosis of testicular tumour. Histopathological diagnosis of testicular tuberculosis was subsequently made. Although the patient was thereafter referred for antituberculosis treatment at the local tuberculosis treatment centre, he defaulted after commencing treatment. Adequate evaluation of patients with testicular mass by means of abdominal and scrotal ultrasound coupled with fine needle aspiration cytology is critical to diagnostic accuracy, optimal treatment and possibility of avoiding surgery in those with testicular tuberculosis.
Highlights
Isolated tuberculous epididymo-orchitis may closely mimic testicular tumour in patients with no history of systemic TB thereby presenting a diagnostic and treatment challenges
Tuberculous epididymo-orchitis is an important manifestation of genitourinary tuberculosis (GUTB).[1]
Recent surge in the prevalence of TB worldwide linked to human immunodeficiency virus (HIV) pandemic has resulted in a concomitant increase in extrapulmonary TB of which GUTB accounts for up to 20% in endemic areas.[4]
Summary
Isolated tuberculous epididymo-orchitis may closely mimic testicular tumour in patients with no history of systemic TB thereby presenting a diagnostic and treatment challenges. Tuberculous epididymo-orchitis may mimic testicular tumours in apparently healthy patients with no other clinical symptoms or signs. (Formerly of Laboratory Department, Federal Medical Centre, Gombe, Nigeria) Telephone: +966 500 780 794 E-mail: badmoskb@yahoo.com be quite helpful in the diagnosis.[5] We report a patient with clinical diagnosis of testicular tumour who had excisional biopsy in a general hospital and the specimen was sent to Federal Medical Centre (FMC), Gombe.
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