Seminoma or sarcoid?
A 33-year-old man subsequently diagnosed as having sarcoidosis presented with the clinical features of a testicular tumour with metastatic spread to para-aortic lymph nodes. Histological examination of the testis and para-aortic lymph node biopsy showed florid granulomatous change and a Kveim test was positive. This is a previously unreported presentation of sarcoidosis and emphasizes that histological confirmation of malignancy is essential prior to institution of cytotoxic therapy.
Emberton
M
M
Department of Surgery, Ashford Hospital, Middlesex, UK.
Ellis
B W
BW
Duchesne
G M
GM
D000328:Adult; D003937:Diagnosis, Differential; D004407:Dysgerminoma / Q000473:pathology*; D006801:Humans; D008297:Male; D012507:Sarcoidosis / Q000473:pathology*; D013733:Testicular Diseases / Q000473:pathology*; D013736:Testicular Neoplasms / Q000473:pathology*