Filarial granuloma of the testicular tunic mimicking a testicular neoplasm: A case report

Savio G. Barreto, Jude Rodrigues, Roque G.W. Pinto

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Introduction: Any firm or solid intratesticular mass on examination and/or any hypoechoic area within the tunica albuginea on imaging is markedly suspicious for testicular cancer. Filarial involvement of the testicular tunic has not been reported previously. Case presentation: A 32-year-old man presented with a history of noticing a swelling in his right testicle for a period of 1 month which had become painful over the 10 days before presentation. Pre-operative imaging failed to shed light on the nature of the lesions (malignant or benign). The diagnostic dilemma was explained to the patient and informed consent was obtained for an orchiectomy. The patient underwent a high inguinal orchiectomy. The histopathology revealed a filarial granuloma of the testicular tunic. Conclusion: While it is generally regarded that any testicular swelling, especially in a young person, should be treated as a malignancy unless proven otherwise, it is important to remember that infectious diseases such as filariasis and tuberculosis may mimic neoplasms. Careful consideration of these diagnoses must be given when dealing with testicular swellings especially in areas where the prevalence of these diseases is high.

Original languageEnglish
Article number321
Number of pages3
JournalJournal of Medical Case Reports
Volume2
DOIs
Publication statusPublished - 1 Oct 2008
Externally publishedYes
EventInternational Conference of Surgeons (Indian Section): Annual Conference - New Delhi, India
Duration: 30 Oct 2004 → …
Conference number: 50

Bibliographical note

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0),
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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