Polyarteritis nodosa mimicking a testis tumour: a case report and review of the literatureReport as inadecuate




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Cancer Imaging

, Volume 2, Issue 2, pp 96–98

First Online: 05 May 2015Accepted: 30 January 2002

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.

Keywordspolyarteritis nodosa testis vasculitis tumour This paper is available online at http:-www.cancerimaging.org. In the event of a change in the URL address, please use the DOI provided to locate the paper.

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Author: P. Braeckman - S. Joniau - R. Oyen - R. Croes - H. Van Poppel

Source: https://link.springer.com/



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