Weird scrotal mass mimicking sarcoma

Résumé fourni par la source

Cystic lymphatic malformations are rare benign congenital malformations characterized by slow-flowing, abnormal cystic dilations.They are distinct from acquired lymphangiectasis, which develops in adulthood following certain circumstances such as infection, surgery, or trauma.Herein, we present the case of a young adult with a groin-scrotal mass evolving since childhood, presenting with asthenia, weight loss, and anorexia.Clinically, the inguinoscrotal mass was hard and painful, raising concerns about malignancy.A thoracoabdominopelvic CT scan revealed active pulmonary tuberculosis, while histopathological examination of the mass disclosed a tuberculous superinfection of a lymphatic malformation.Antitubercular treatment improved the overall condition and consistency of the mass, and the diagnosis was confirmed by MRI.Thus, one should always consider the possibility of tuberculous superinfection in the context of a chronic dermatosis.

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