Sarcoidosis of the spermatic cord and epididymus

Sarcoidosis (Boeck's disease) is of unknown etiology with an incidence of 10 - 40/10(5) people. In 75% of the cases, pulmonary manifestations are found, with histological findings of noncaseating epithelial granulomas. Bilateral enlargement of the hilus lymph nodes are common and divided into t...

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Bibliographic Details
Published inAktuelle Urologie Vol. 34; no. 5; p. 354
Main Authors Esser, R, Rothenberger, K H
Format Journal Article
LanguageEnglish
German
Published Germany 01.09.2003
Subjects
Adult
Biopsy
Diagnosis, Differential
Epididymis - pathology
Epididymis - surgery
Genital Diseases, Male - pathology
Genital Diseases, Male - surgery
Humans
Laparoscopy
Lymph Nodes - pathology
Male
Mediastinoscopy
Sarcoidosis - pathology
Sarcoidosis - surgery
Sarcoidosis, Pulmonary - pathology
Spermatic Cord - pathology
Spermatic Cord - surgery
Testicular Diseases - pathology
Testicular Diseases - surgery
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Summary:Sarcoidosis (Boeck's disease) is of unknown etiology with an incidence of 10 - 40/10(5) people. In 75% of the cases, pulmonary manifestations are found, with histological findings of noncaseating epithelial granulomas. Bilateral enlargement of the hilus lymph nodes are common and divided into three grades of enlargement. The initial symptoms are cough, fever and dyspnea. We report a man, 43 years old, first admitted to our hospital in 1988 with a tumor at the right spermatic-cord. Histological examination revealed a granulomatous inflammation, fitting to sarcoidosis, which was verified in the same year by mediastinoscopy. Partial resection of the left epididymal testis was performed in 2001 due to marked rigidity and histological fibrosis. Urological manifestation of Boeck's disease is rare. Approximately 30 cases have been described in literature with various urological associations. In most cases, urological sarcoidosis is found accidentally during examination of the most common form, pulmonary sarcoidosis.
ISSN:0001-7868