title: A rare case report of bilateral testicular masses as an initial manifestation of systemic sarcoidosis.
abstract: Sarcoidosis is an idiopathic, systemic disease that rarely involves the genitourinary tract. Here, we present a case of a 40-year-old male presented with bilateral scrotal swelling. The scrotal ultrasound showed multiple echogenic masses bilaterally ranging between 3 mm and 15 mm involving both testicles. Enlarged retroperitoneal lymph nodes were detected on the abdominal computed tomography (CT). Surgical exploration of the testes with a frozen section analysis of the left testicular mass was carried out, and it revealed noncaseating granulomas. CT scan of the chest revealed the classic bilateral hilar and mediastinal lymphadenopathy with reticulonodular infiltrates. The final pathological diagnosis was systemic sarcoidosis with bilateral testicular involvement. Treatment with high-dose corticosteroids resulted in complete resolution of the testicular mass and a significant decrease in the size of the hilar, mediastinal, and retroperitoneal lymphadenopathy.
authors.affiliation: Department of Internal Medicine, St. Joseph's Medical Center, Paterson, NJ, USA.
authors.forename: Hiren
authors.initials: H
authors.lastname: Patel
authors.affiliation: Department of Hematology and Oncology, Saint Michael's Medical Center, Newark, NJ, USA.
authors.forename: Hamid
authors.initials: H
authors.lastname: Shaaban
authors.affiliation: Department of Hematology and Oncology, St. Joseph's Medical Center, Paterson, NJ, USA.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Kumar
authors.affiliation: Department of Hematology and Oncology, Saint Michael's Medical Center, Newark, NJ, USA.
authors.forename: Tejas
authors.initials: T
authors.lastname: Modi
authors.affiliation: Department of Hematology and Oncology, St. Joseph's Medical Center, Paterson, NJ, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Maroules
keywords: Bilateral testicular masses; sarcoidosis; steroids