Isolated Testicular Tuberculosis Disguised As a Testicular Tumor: A Report of a Rare Case

TL;DR

A rare case of testicular tuberculosis was mistaken for a tumor, highlighting the need for careful diagnosis in similar cases.

Contribution

This paper reports a rare case of isolated testicular tuberculosis misdiagnosed as a tumor.

Findings

Testicular tuberculosis can present as a mass mimicking malignancy.

Diagnosis was confirmed only after orchiectomy despite normal tumor markers.

The case emphasizes the need for clinical suspicion in tuberculosis-endemic regions.

Abstract

Isolated testicular tuberculosis is rare, often diagnosed incidentally during histopathological examination due to its asymptomatic nature. We present a case of a 35-year-old male with a left testicular mass mimicking malignancy. Despite normal tumor markers and negative imaging for pulmonary tuberculosis, left inguinal orchiectomy revealed testicular tuberculosis. Diagnostic challenges are compounded by the disease's rarity and atypical presentation. Genitourinary tuberculosis's diagnostic complexity underscores the need for heightened clinical suspicion, particularly in tuberculosis-endemic regions. While orchiectomy may be necessary, this case underscores the importance of considering tuberculosis in testicular masses. Early recognition facilitates appropriate management and underscores the importance of diagnostic vigilance.

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