Testicular sarcoidosis
Updates to Article Attributes
Testicular sarcoidosis is a rare manifestation of sarcoidosis. In cases of urogenital sarcoidosis, more commonly the epididymis is affected.
Epidemiology
Testicular sarcoidosis is more common in African-American patients, as are other forms of sarcoidosis 1. Up to 5% of patients with chronic sarcoidosis have evidence of testicular disease on autopsy 2.
Clinical presentation
Patients may be asymptomatic or present with pain or a mass 2.
Radiographic features
Testicular sarcoidosis should be considered in cases where there are multiple masses in the testis and epididymis 3.
Ultrasound
On ultrasound, enlarged epididymides and multiple nodules with decreased echogenicity can be expected 2.
MRI
Expected findings on MRI include 2:
-
T1
Gd (C+C+ (Gd)- enlarged epididymides
- may be unilateral and solitary, however, more often are multiple, small, bilateral nodular lesions
- enhancing with contrast
- T2: as above however lesions show low signal intensity
Treatment and prognosis
Excluding a testicular malignancy and preserving fertility are the main goals of treatment 1.
-<strong>T1 Gd (C+)</strong><ul>- +<strong>T1 C+ (Gd)</strong><ul>
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