PMC7292101_01
Scrotal ultrasonography. Ultrasonography shows a scattered hypoechoic mass lesions in both testes (a, left testis; b, right testis).
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Ultrasonography revealed scattered hypoechoic mass lesions in both testes (Fig. 1).
CT scans of the chest and abdomen. A nodular lesion with an internal cavity in the left upper lobe of the lung (a), hilar lymph nodes, and para-aortic lymph node swelling (b) before corticosteroid therapy. A significant decrease in the size of the lung nodule (c), hilar lymph nodes, and para-aortic lymph nodes (d) after treatment.
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A nodular lesion with an internal cavity in the left upper lobe of the lung, hilar lymph nodes, and para-aortic lymph node swelling was noted on chest and abdominal CT (Fig. 2a,b). On CT examination after treatment, the left lung nodule, hilar lymph node, and para-aortic lymph node had shrunk (Fig. 2c,d), and no abnormal accumulation in either testis was observed on gallium-67 scintigraphy.
Histopathology of the testicular biopsy. Noncaseating epithelial cells with multinucleated giant cells (black arrow), and some normal spermatogonia and spermatocytes (a, right testis; b, left testis; magnification x200).
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Pathologically, noncaseating epithelial cells with multinucleated giant cells, and some normal spermatogonia and spermatocytes were observed in both testes, and we diagnosed the patient with testicular sarcoidosis without any tumor cells (Fig. 3).