Xanthogranulomatous Orchiepididymitis: A Very Uncommon Cause of Scrotal Mass in Childhood

Xanthogranulomatous orchitis (XGO) is an extremely rare inflammatory destructive lesion of testis. We report a case of a 14-year-old boy who presented with painful right testicular mass and discharging scrotal fistulas. Serologic tumor markers were normal. Tissue destruction was profound in the initial biopsy. The antibiotic treatment did not change the course of the disease. The definitive cure was achieved by orchiectomy and excision of the fistulous extension to the scrotum. Histopathological investigation was consistent with xanthogranulomatous process. Although XGO is very rare, the basic interest in the present report is considering this entity in the broad differential diagnosis spectrum of scrotal masses in childhood. UROLOGY 82: 228-230, 2013. (C) 2013 Elsevier Inc.