Epididymo-orchitis developing as a late manifestation of intravesical bacillus Calmette-Guerin therapy and masquerading as a primary testicular malignancy: a report of 2 cases.
In 2 cases epididymo-orchitis, indistinguishable from a testicular tumor, developed as a late (15 and 34 months, respectively) complication following use of Tice strain bacillus Calmette-Guerin for treatment of superficial bladder carcinoma. In each instance the lesion was asymptomatic and ultrasonography demonstrated a complex scrotal mass. Inguinal orchiectomy was performed for diagnosis and therapy. The importance of obtaining a mycobacterial culture for further therapy planning is stressed.
Truelson
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Department of Urology, University of Texas M.D. Anderson Cancer Center, Houston 77030.
Wishnow
K I
KI
Johnson
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DE
D000283:Administration, Intravesical; D000368:Aged; D001500:BCG Vaccine / Q000008:administration & dosage / Q000009:adverse effects*; D003937:Diagnosis, Differential; D004823:Epididymitis / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009920:Orchitis / Q000175:diagnosis / Q000209:etiology*; D013736:Testicular Neoplasms / Q000175:diagnosis*; D001749:Urinary Bladder Neoplasms / Q000628:therapy
D001500:BCG Vaccine