Testicular sarcoidosis
Last revised by Jeremy Jones on 20 Sep 2021
Citation, DOI, disclosures and article data
Citation:
Smith H, Bell D, Knipe H, Testicular sarcoidosis. Reference article, Radiopaedia.org (Accessed on 19 Apr 2024) https://doi.org/10.53347/rID-63064
Permalink:
rID:
63064
Article created:
12 Sep 2018,
Hamish Smith
Disclosures:
At the time the article was created Hamish Smith had no recorded disclosures.
View Hamish Smith's current disclosures
Last revised:
20 Sep 2021,
Jeremy Jones ◉
Disclosures:
At the time the article was last revised Jeremy Jones had no recorded disclosures.
View Jeremy Jones's current disclosures
Revisions:
4 times, by
3 contributors -
see full revision history and disclosures
Systems:
Testicular sarcoidosis is a rare manifestation of sarcoidosis. In cases of urogenital sarcoidosis, more commonly the epididymis is affected.
On this page:
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 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.
References
- 1. Rao PK, Sabanegh ES. Genitourinary sarcoidosis. (2009) Reviews in urology. 11 (2): 108-13. Pubmed
- 2. Woodward PJ, Sohaey R, O'Donoghue MJ, Green DE. From the archives of the AFIP: tumors and tumorlike lesions of the testis: radiologic-pathologic correlation. (2002) Radiographics : a review publication of the Radiological Society of North America, Inc. 22 (1): 189-216. doi:10.1148/radiographics.22.1.g02ja14189 - Pubmed
- 3. Koyama T, Ueda H, Togashi K, Umeoka S, Kataoka M, Nagai S. Radiologic manifestations of sarcoidosis in various organs. (2004) Radiographics : a review publication of the Radiological Society of North America, Inc. 24 (1): 87-104. doi:10.1148/rg.241035076 - Pubmed
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