title: An unusual case of extensive xanthogranulomatous orchitis in a diabetic patient.
abstract: OBJECTIVE
  We report an unusual case of extensive xanthogranulomatous orchitis (XGO) in association with poorly controlled diabetes mellitus.
  
  
  METHODS
  A 65-year-old Kuwaiti man with poorly controlled diabetes mellitus presented with a painful left testicular swelling of 1 year duration. Testicular tumor markers were normal. Scrotal ultrasonography showed a mass lesion of mixed echotexture, which almost replaced the testicular parenchyma. Left-sided orchiectomy was performed with the clinical diagnosis of testicular neoplasia. Subsequent examination revealed the diagnosis of XGO, and the patient is well 2 years after the operation.
  
  
  CONCLUSIONS
  Extensive tumorous XGO associated with diabetes mellitus has not been previously reported. We offer this case to highlight the implied role of poorly controlled diabetes mellitus in the pathogenesis of XGO.
authors: Department of Pathology, Al Jahra Hospital, Jahra, Kuwait. mannanrifat@rediffmail.com
authors: Abul Ala Syed
authors: AA
authors: Rifat Mannan
authors: Mirza
authors: M
authors: Kahvic
authors: Yahya
authors: Y
authors: Abu Sara
authors: Chandramouli
authors: C
authors: Bharati
mesh_terms: D000368:Aged; D048909:Diabetes Complications; D006099:Granuloma / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D009920:Orchitis / Q000150:complications* / Q000473:pathology; D014973:Xanthomatosis / Q000150:complications* / Q000473:pathology