PDF(Pubmed)
Abstract：
Isolated testicular tuberculosis is rare, often diagnosed incidentally during histopathological examination due to its asymptomatic nature. We present a case of a 35-year-old male with a left testicular mass mimicking malignancy. Despite normal tumor markers and negative imaging for pulmonary tuberculosis, left inguinal orchiectomy revealed testicular tuberculosis. Diagnostic challenges are compounded by the disease\'s rarity and atypical presentation. Genitourinary tuberculosis\'s diagnostic complexity underscores the need for heightened clinical suspicion, particularly in tuberculosis-endemic regions. While orchiectomy may be necessary, this case underscores the importance of considering tuberculosis in testicular masses. Early recognition facilitates appropriate management and underscores the importance of diagnostic vigilance.
摘要：
孤立的睾丸结核是罕见的，由于其无症状性质，通常在组织病理学检查期间偶然诊断。我们介绍了一例35岁的男性，其左睾丸肿块模仿恶性肿瘤。尽管肿瘤标志物正常，肺结核影像学检查阴性，左腹股沟睾丸切除术显示睾丸结核。该疾病的稀有性和非典型表现加剧了诊断挑战。泌尿生殖系统结核的诊断复杂性强调了临床怀疑的必要性，特别是在结核病流行地区。虽然睾丸切除术可能是必要的，该病例强调了睾丸肿块中考虑结核病的重要性。早期识别有助于适当的管理，并强调了诊断警惕的重要性。
