Xanthogranulomatous orchitis in an adult Nigerian.
Links Xanthogranulomatous orchitis in an adult Nigerian. Salako AA, Olasode BJ, Eziyi AK, Osasan SAInt J Urol. 2006 Feb;13(2):186-8. Links Xanthogranulomatous orchitis in an adult Nigerian. Salako AA, Olasode BJ, Eziyi AK, Osasan SA. Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria. kayosalako@yahoo.com Xanthogranulomatous orchitis (XGO) is a rare benign disease of the testis which has not been previously documented in tropical Africa. We report a case of a 24-year-old Nigerian man who presented with a painless left hemiscrotal swelling. Our clinical diagnosis was left testicular cancer. Testicular tumor markers were normal. At surgical exploration, we found a left testicular tumor. Histopathological examination of the specimen showed XGO of the left testis. He had left radical orchiectomy and left inguinal node dissection. He has remained stable 8 months after the treatment. Xanthogranulomatous orchitis cannot be distinguished clinically from testicular cancer unless by histopathological examination. Orchiectomy is the treatment of choice. However, in all patients and particularly young patients and those with a single testis, histopathological confirmation is suggested to avoid unnecessary radical orchiectomy, useless irradiation and ill-timed chemotherapy. PMID: 16563149 [PubMed - indexed for MEDLINE] Related Links Xanthogranulomatous orchitis with scrotal fistulas. [Int J Urol. 2004] PMID: 15285766 Xanthogranulomatous orchitis. [Urology. 2004] PMID: 14751385 [A case report of granulomatous orchitis--review of 20 cases in Japan] [Nippon Hinyokika Gakkai Zasshi. 2001] PMID: 11235140 Xanthogranulomatous funiculitis and orchiepididymitis: report of 2 cases with immunohistochemical study and literature review. [Arch Pathol Lab Med. 2004] PMID: 15270607 Idiopathic granulomatous orchitis. [Jpn J Surg. 1979] PMID: 439505 See all Related Articles... Display Summary Brief Abstract AbstractPlus Citation MEDLINE XML UI List LinkOut ASN.1 Related Articles Cited Articles Cited in Books CancerChrom Links Domain Links 3D Domain Links GEO DataSet Links Gene Links Gene (GeneRIF) Links Genome Links Project Links GENSAT Links GEO Profile Links HomoloGene Links Nucleotide Links Nucleotide (RefSeq) Links OMIA Links OMIM (calculated) Links OMIM (cited) Links BioAssay Links Compound Links Compound via MeSH Substance Links Substance via MeSH PMC Links Cited in PMC PopSet Links Probe Links Protein Links Protein (RefSeq) Links SNP Links Structure Links Taxonomy via GenBank UniGene Links UniSTS Links Show 5 10 20 50 100 200 500 Sort by Pub Date First Author Last Author Journal Send to Text File Printer Clipboard E-mail Order .
Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria. kayosalako@yahoo.com
Xanthogranulomatous orchitis (XGO) is a rare benign disease of the testis which has not been previously documented in tropical Africa. We report a case of a 24-year-old Nigerian man who presented with a painless left hemiscrotal swelling. Our clinical diagnosis was left testicular cancer. Testicular tumor markers were normal. At surgical exploration, we found a left testicular tumor. Histopathological examination of the specimen showed XGO of the left testis. He had left radical orchiectomy and left inguinal node dissection. He has remained stable 8 months after the treatment. Xanthogranulomatous orchitis cannot be distinguished clinically from testicular cancer unless by histopathological examination. Orchiectomy is the treatment of choice. However, in all patients and particularly young patients and those with a single testis, histopathological confirmation is suggested to avoid unnecessary radical orchiectomy, useless irradiation and ill-timed chemotherapy.
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