title: Testicular mass: do not forget filariasis.
abstract: Parasite infestation of the testicular tunica and spermatic cord by filariae are rarely reported and may present with few clinical signs, depending upon the stage. Occasionally, it may mimic a testicular tumor. We present a case of a 29-year-old man who presented with left testicular swelling and discomfort for 4 months. Clinical examination and imaging suggested an intrascrotal cystic lesion with a normal left testis. However, the intraoperative findings revealed a tumor-like mass; hence, a left orchidectomy was performed. However, histopathology reported a diagnosis of a cystic testicular tunica and spermatic cord with parasite infection. Here, we review the literature of scrotal and testicular parasite disease and discuss the course of the appropriate management involved.
authors.affiliation: Division of Urology, Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000, Kuala Lumpur, Malaysia. chrisckho2002@yahoo.com
authors.forename: C C K
authors.initials: CC
authors.lastname: Ho
authors.forename: N
authors.initials: N
authors.lastname: Ideris
mesh_terms: D000328:Adult; D000818:Animals; D005368:Filariasis / Q000175:diagnosis* / Q000473:pathology; D005370:Filarioidea / Q000302:isolation & purification*; D006651:Histocytochemistry; D006801:Humans; D008297:Male; D008853:Microscopy; D013733:Testicular Diseases / Q000175:diagnosis* / Q000469:parasitology* / Q000473:pathology; D013737:Testis / Q000000981:diagnostic imaging / Q000473:pathology; D014463:Ultrasonography