Xanthogranulomatous orchitis (XGO) is an extremely rare inflammatory disease of the testis which can mimic testicular tumors. We report a 42-year-old man who presented with left scrotal swelling for one-month duration associated with pus discharge from the overlying scrotal skin. Scrotal ultrasonography revealed an atrophic heterogenous left testis with scrotal wall collection. Surgical scrotal exploration with left simple orchidectomy was performed. By histopathology, the diagnosis of XGO was rendered. The preoperative diagnosis of XGO can very challenging and the diagnosis mainly relies on histopathologic examination. Adequate pathologic sampling is essential to rule out the possibility of co-existing testicular neoplasms.
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| http://dx.doi.org/10.1016/j.eucr.2020.101248 | DOI Listing |
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Article Synopsis
- Xanthogranulomatous orchitis (XGO) is a rare, benign condition that affects testicular tissue, causing significant damage due to lipid-laden macrophages infiltrating the area.
- An 80-year-old man with chronic pyocele experienced left-sided scrotal swelling and was diagnosed preoperatively with XGO via ultrasound, leading to a left orchidectomy.
- Histopathological examination confirmed the diagnosis by revealing damage to seminiferous tubules and highlighted the importance of proper diagnosis to differentiate XGO from testicular tumors, reinforcing the necessity of histopathology in treatment decisions.
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