Granulomatous orchitis in a pre-pubertal school-aged child: differential diagnosis dilemmas

Journal of Pediatric Urology
Lisieux E JesusElissa Fonseca

Abstract

A 6-year-old male presented with testicular growth and persistent chronic orchiepididymitis with high inflammatory markers (C reactive protein and erythrocyte sedimentation rate). Biopsies of the testes and epididymides showed bilateral epididymal and testicular granulomata, testicular fibrosis and chronic inflammatory infiltration, and the histological diagnosis was granulomatous orchitis. The symptoms receded with oral corticosteroids. Although rare, granulomatous orchitis is a possible diagnosis in children presenting testicular enlargement. It is important to differentiate it from testicular tumors (if necessary with testicular biopsy) and to investigate its association with systemic vasculitis and infectious diseases.

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Citations

Dec 17, 2015·Pediatrics International : Official Journal of the Japan Pediatric Society·Misaki MatsumuraSeiji Yamaguchi
Aug 31, 2016·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Manuel NistalMiguel Reyes-Múgica

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