Epididymal Sarcoidosis: Case Report and Review

Abstract

Sarcoidosis is considered rarely in the differential diagnosis of scrotal masses. We report a case of epididymal sarcoid in an otherwise asymptomatic young man. The findings on the chest x-ray initially suggested a metastatic testicular neoplasm. Familiarity with this lesion may avert unnecessary orchiectomy. A rational treatment approach is presented and the literature is reviewed briefly.

Testicular Sarcoidosis: Sonographic Findings

“…49 However, patients with unresolving sarcoidosis are placed on corticosteroid therapy, especially if vital organ function is affected and hypercalcemia is present. 50,51 In general, corticosteroids have been reported to be effective in reducing the size of testicular lesions and improving the metabolic and symptomatic manifestations of sarcoidosis. 50,52 In cases where corticosteroid therapy fails to control the symptoms or halt the progression of the disease, surgical intervention may become warranted.…”

Sarcoidosis of the Reproductive Organs

“…Sperm granuloma commonly antecedes with history of trauma or surgery. 15 A prostatic mass in an elderly patient with sarcoidosis poses a clinical problem for differential diagnosis between sarcoidosis and cancer. The serum levels of prostate-specific antigen and prostatic acid phosphatase are helpful, but transurethral biopsy is mandatory.…”