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KMID : 1144320110430010068
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감염과 화학요법
2011 Volume.43 No. 1 p.68 ~ p.71
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Testicular Tuberculosis That Mimicked Testicular Cancer
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Kim Won-Jin
Shin Kyung-Hwa
Kim Mi-Hyun
Cho Woo-Hyun
Lee Kwang-Ha
Kim Ki-Uk
Jeon Doo-Soo
Park Hye-Kyung
Kim Yun-Seong
Lee Min-Ki
Park Soon-Kew
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Abstract
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Next to lymphatic involvement, genitourinary tuberculosis is considered the second most common manifestation of extrapulmonary tuberculosis worldwide. However, testicular and spermatic cord involvement is uncommon. We report here on a case of testicular and spermatic cord tuberculosis that masqueraded as testicular cancer. A 25-year-old man was admitted to our hospital with painless right scrotal swelling for past 2 months. The abdominal CT scan showed a heterogenous testicular mass that was suspicious for being malignancy. He underwent right radical orchiectomy;
testicular and spermatic cord tuberculosis was revealed on histopathological examination. This case highlights the importance of taking a thoughtful diagnostic approach for testicular and spermatic cord tuberculosis, including fine needle aspiration before performing surgical exploration.
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KEYWORD
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Urogenital tuberculosis, Urogenital cancer, Testicular cancer
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