Vakkas Bozanoglu, Mostafa Sultani Afghan, Volkan Selmi, Mehmet Caniklioglu, Sercan Sari, Levent Isikay
Brucellosis is a disease that affects all systems and can present with different clinical presentations, causing difficulties in diagnosis and treatment. Genitourinary system involment is encountered in 2-20% of cases and usually presents with epididymo-orchitis. It may occur with a mass in the testicle. Therefore, testicular tumor may be overlooked in patients who are Brucella positive. Testicular tumor is one of the most common solid tumors in men between the ages of 15-35 and constitutes 1-2% of all male malignancies (1). Only 2-6% of testicular teratomas are pure teratomas. Pure teratomas can be subclassified into prepubertal and post-pubertal. The prognosis is significantly different between these two age groups. Malignant transformation of teratoma occurs in only 3-6% of testicular germ cell tumors (GCTs) (2). In this case report, a Brucella positive patient who underwent radical inguinal orchiectomy because of scrotal pain, swelling, fistulized purulent discharge, and a testicular mass palpable on physical examination, and whose pathology revealed postpubertal teratoma, is presented.
