Testicular schistosomiasis as differential diagnosis for testicular nodules: a case report

Ferreira, Tiago Neves; Higa, Hana Caroline Morais; Rondina, Ronaldo Garcia; Miranda, Marcelo Cabral Lamy de; Kaddoun, Marcos Lyra; Santos, Maria Carmen Ferreira Lopes Silva; Souza, Rodrigo Stênio Moll de

doi:10.1590/0037-8682-0229-2014

Cited by 7 publications

(12 citation statements)

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“…Although schistosomiasis is endemic in many countries, S. mansoni infection with testicular involvement is extremely rare 20 . Its occurrence is attributed to the migration of eggs through the venous channels between the mesenteric veins and the internal spermatic vein, inducing an immune response and formation of granulomas associated with fibrotic changes 20,21 .…”

Section: Discussionmentioning

confidence: 99%

“…Its occurrence is attributed to the migration of eggs through the venous channels between the mesenteric veins and the internal spermatic vein, inducing an immune response and formation of granulomas associated with fibrotic changes 20,21 .…”

Section: Discussionmentioning

confidence: 99%

“…However, in this location schistosomiasis may be clinically characterized by unilateral testicular edema, gonadal atrophy, libido alterations, erectile dysfunction, infertility, and testicular nodulations, mimicking a neoplastic lesion that may in certain circumstances lead to unnecessary orchidectomy 20,21,23,24 .…”

Section: Discussionmentioning

confidence: 99%

“…In endemic areas it is fundamental to maintain a high degree of suspicion of testicular schistosomiasis as a differential diagnosis of testicular tumors in boys or adult males with a testicular mass 20,25 . The indication of radical orchiectomy should be carefully reviewed to avoid unnecessary invasive surgeries, especially in patients of reproductive age.…”

Section: Discussionmentioning

confidence: 99%

“…The indication of radical orchiectomy should be carefully reviewed to avoid unnecessary invasive surgeries, especially in patients of reproductive age. In this context, partial orchiectomy with intraoperative frozen section examination may be a safe and effective approach for the diagnosis and treatment of these benign lesions 20 .…”

Section: Discussionmentioning

confidence: 99%

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Ectopic forms of schistosomiasis mansoni in the second macroregion of Alagoas: case series report and review of the literature

Lima

Oliveira

Silva

et al. 2017

Rev. Soc. Bras. Med. Trop.

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Introduction: Ectopic forms of schistosomiasis are those in which the parasitic element is localized outside the portal system, the natural habitat of the helminth. Although the prevalence rates of schistosomiasis are high in Brazil, clinical and epidemiological data on ectopic forms of the disease are still scarce. Methods: Cross-sectional, retrospective and descriptive epidemiological study in which cases with a confirmed histopathological diagnosis of an ectopic form of schistosomiasis were analyzed. The cases were selected from a database of the anatomic pathology files of a referral center. Results: Of the 21 cases identified, seven affected the female genital tract and five the male genital tract; four cases were identified in the peritoneum; two cases involved lymph nodes and two involved adipose tissue; and renal involvement was detected in one case. Conclusions: The lack of knowledge of the clinical presentation of ectopic forms of schistosomiasis makes the early identification and treatment of this form difficult, with direct implications in the reduction of morbidity and mortality in endemic areas.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%