Inflammatory pseudotumor of the testis: A novel presentation of acute retroviral syndrome

• Published in: International journal of urology Vol. 12; no. 4; pp. 424 - 426
• Main Authors: NAVAI, NEEMA, YAP, RONALD L, GUPTA, ROHIT, FRASER, THOMAS G, GONZALEZ, CHRISTOPHER M
• Format: Journal Article
• Language: English
• Published: Melbourne, Australia Blackwell Science Pty 01.04.2005
• Subjects: Adult; Anti-HIV Agents - therapeutic use; Diagnosis, Differential; Follow-Up Studies; Granuloma, Plasma Cell - diagnosis; Granuloma, Plasma Cell - etiology; Granuloma, Plasma Cell - surgery; HIV - immunology; HIV Antibodies - immunology; HIV Infections - complications; HIV Infections - diagnosis; HIV Infections - drug therapy; human immunodeficiency virus; Humans; inflammatory pseudotumor; Male; neoplasia; Orchiectomy; seroconversion; testes; Testicular Neoplasms - diagnosis; Testicular Neoplasms - etiology; Testicular Neoplasms - surgery; Testis - diagnostic imaging; Testis - pathology; Time Factors; Tomography, X-Ray Computed; Ultrasonography
• ISSN: 0919-8172; 1442-2042
• DOI: 10.1111/j.1442-2042.2005.01065.x

Inflammatory pseudotumors are a rare entity, the etiology of which is not well understood. It has been postulated that these non‐neoplastic lesions are the result of a reaction to trauma, surgery, infection or local irritation, though in many cases an underlying cause is never found. In this case, a 30‐year‐old man with previously undiagnosed human immunodeficiency virus presented with a 2‐week history of painless right testicular mass measuring 1 × 1 cm. The patient underwent right radical orchiectomy with histopathological analysis revealing an inflammatory pseudotumor of the testis. Further work up pointed to acute retroviral syndrome as the likely cause.