phenylephrine-hydrochloride and Testicular-Neoplasms

Urologic involvement in sarcoidosis is rare. We report a patient who presented with a testicular mass and, shortly thereafter, manifested nasal lesions of the papular variant of cutaneous sarcoidosis. Histologic examination from both organ systems yielded sarcoidal granulomas. The patient was successfully treated using oral corticosteroids. Sarcoidosis continues to replace syphilis as "the great imitator of the 1990s," and clinicians must be increasingly aware of its variable presentations.

Topics: Adrenal Cortex Hormones; Adult; Diagnosis, Differential; Epididymis; Granuloma; Humans; Male; Nose; Sarcoidosis; Testicular Diseases; Testicular Neoplasms; Testis

Malignant neoplasms of the nasal cavity and paranasal sinuses are uncommon. Choriocarcinoma is a highly malignant germ cell tumour occurring in the reproductive organs. Metastasis may be principally by the lymphatic route as in other germ cell tumours but choriocarcinoma is also known to spread haematogenously. We present a rare case of metastatic choriocarcinoma to the nasal cavity from testicular teratoma presenting with intractable epistaxis in a 32-year-old Caucasian male, who ultimately succumbed to this disease.

Topics: Adult; Choriocarcinoma; Epistaxis; Fatal Outcome; Humans; Male; Nose; Nose Neoplasms; Paranasal Sinuses; Skin Neoplasms; Testicular Neoplasms; Tomography, X-Ray Computed