Isolated testicular vasculitis mimicking a testicular neoplasm.

Abstract:

:A 19 year old man presented with unilateral testicular swelling and pain. An initial diagnosis of epididymo-orchitis was modified to a presumed testicular neoplasm following ultrasonography. The final diagnosis of isolated testicular vasculitis was established following histological examination of the orchidectomy specimen. Staining for antineutrophil cytoplasmic antibodies was negative. Despite immunosuppressive treatment, the patient developed further symptoms affecting the remaining testis one year later. He responded well to an increase in immunosuppressive therapy and has remained asymptomatic 18 months from diagnosis. Symptomatic vasculitis confined to the testis is extremely rare, but must be considered in the differential diagnosis of testicular swelling and may be the presenting feature of a systemic vasculitis such as polyarteritis nodosa. The risk of progression to systemic disease in such cases is unknown. Immunosuppressive therapy must be considered carefully and long term follow up is important.

journal_name

J Clin Pathol

authors

Warfield AT,Lee SJ,Phillips SM,Pall AA

doi

10.1136/jcp.47.12.1121

subject

Has Abstract

pub_date

1994-12-01 00:00:00

pages

1121-3

issue

12

eissn

0021-9746

issn

1472-4146

journal_volume

47

pub_type

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