Granulomatous orchitis - a case report

Abstract

Clinically seminoma and granulomatous orchitis are difficult to separate. The present case highlights this aspect. 50-year-old male presented with mass & pain in right testis since 6 to 8 months. Right testis was enlarged, hard & tender: Laboratory investigations were within normal limits. Orchiectomy specimen revealed homogenous appearance with yellow grey colour Sections studied showed multiple non-caseating granulomas mainly within seminiferous tubules. Differential diagnosis of non-caseating granulomas mainly includes sarcoidosis & granulomatous orchitis. Restriction of granulomas to seminiferous tubules as in our case is a characteristic feature of granulomatous orchitis.

Keywords

• Granuloma; Testis.