ABSTRACT
Testicular schistosomiasis by Schistosoma mansoni is exceedingly rare, with only 11 cases reported in PubMed. We report a new case from Brazil. A 31-year-old man from the northeast region of the country presented with a 2 cm nodule in the right testis. Ultrasonography showed a well-delimited hypoechoic tumor, suggestive of a granulomatous lesion. Magnetic resonance imaging revealed an irregular tunica albuginea signal. A biopsy showed interstitial tissue with schistosome ova and granuloma formation. The nodule was excised, and the patient was treated with oxamniquine. He has remained symptom free for 10 years. A testicular nodule should raise suspicion of numerous pathologies, including schistosomiasis. Treatment should include therapy with oxamniquine or praziquantel, and nodule excision should be done whenever possible.
Subject(s)
Adult , Humans , Male , Schistosomiasis mansoni , Testicular Diseases/parasitology , Magnetic Resonance Imaging , Orchiectomy , Oxamniquine/therapeutic use , Schistosomiasis mansoni/diagnosis , Schistosomiasis mansoni/therapy , Schistosomicides/therapeutic use , Testicular Diseases/diagnosis , Testicular Diseases/therapyABSTRACT
Se reporta el caso de un hombre de 32 años con un seminoma testicular puro típico, el cual 7 meses después de la orquidectomía radical y después de recibir cobaltoterapia infradiafragmática se presentó a la consulta de Urología con una masa renal sólida por infiltración seminomatosa(estadio IV), que fue tratado con una nefrectomía radical seguida de quimioterapia con tres cursos de cisplastino, VP16 y bleomicina y el que tuvo una sobrevida de 26 meses después de su tratamiento inicial.