[Sarcoidosis presenting as an intrascrotal mass].
BACKGROUND
Sarcoidosis is a multisystem disorder that rarely involves the genitourinary tract.


METHODS
A 35-year-old man had intrascrotal extratesticular mass. Surgical exploration found noncaseating granulomatous inflammation. After the CT scan revealed mediastinal lymphadenopathy and splenomegaly, we diagnosed sarcoidosis. The patient responded rapidly to corticosteroids.


CONCLUSIONS
Intrascrotal sarcoidosis is an unusual differential diagnosis for an intrascrotal mass. Histological testing is necessary to diagnose noncaseating granulomas. Other granulomatous diseases must be ruled out. Corticosteroid treatment is indicated only for symptomatic sarcoidosis with diffusion of granulomatous lesions and involvement of vital organs.
Zenone
T
T
Service de médecine interne, Centre hospitalier de Valence. t.zenone@ch-valence.fr
Petibon
E
E
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D007249:Inflammation; D008206:Lymphatic Diseases / Q000209:etiology; D008297:Male; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D013163:Splenomegaly / Q000209:etiology; D013733:Testicular Diseases / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery
D000305:Adrenal Cortex Hormones