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Polyarteritis Nodosa Mimicking a Testis Tumour: a Case Report and Review of the Literature
Abstract
A 28-year-old man presented with a seven-day history of testicular pain. Physical examination revealed a mass in the lower pole of the left testis. This mass was a tumour suspect on scrotal ultrasound and MRI. Testicular tumour markers were negative. A radical orchidectomy was performed. Histologically, the diagnosis of polyarteritis nodosa (PAN) was made. Retrospectively, the diagnosis of PAN could have been made earlier. The patient was treated for
superficial thrombophlebitis in the months prior to admission. This was considered to be a paraneoplastic phenomenon after radical nephrectomy for a conventional type renal cell carcinoma two years earlier. After the diagnosis of PAN was made on the orchidectomy specimen, the cutaneous lesions were finally recognized as cutaneous PAN. With this knowledge, a simple testicular biopsy could have avoided a radical orchidectomy. A short review of literature on testicular PAN is given.
Author
P Braeckman, S Joniau, R Oyen, R Croes, and H Van Poppel
Contact Details
Corresponding address:
Departments of Urology, Radiology and Pathology,
University Hospital Gasthuisberg,
Leuven,
Belgium
Reference
ICIS Cancer Imaging Volume 2
DOI: 10.1102/1470-7330.2002.0014
Date Posted
31 July 2002
Open Access is provided for this article.
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