A 31-year-old male visited our clinic with a complaint of painless intrascrotal mass in the left side. He had been diagnosed with pulmonary sarcoidosis 6 years prior. Scrotal ultrasound revealed a distinct mass measuring 18 mm x 16 mm at the left epididymal tail. An epididymectomy was performed for treatment and pathological diagnosis. Four nodules shaped like testicular appendices were also found on the testicular surface and subsequently removed. Histopathological examination established that both the epididymal and appendix-like lesions consisted of non-caseating epithelioid granulomas with giant cells, and were diagnosed as sarcoidosis. The patient has no recurrence of intrascrotal lesions after 6-month follow up. This is the first report of intrascrotal involvement of sarcoidosis presenting like testicular appendices.
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机译：一名31岁的男性因左侧无痛阴囊内肿块而来我们的诊所就诊。他六年前被诊断出患有肺结节病。阴囊超声显示左附睾尾部有一个明显的肿块，大小为18 mm x 16 mm。进行了附睾切除术以进行治疗和病理诊断。在睾丸表面还发现了四个形状像睾丸附件的结节，随后将其切除。组织病理学检查证实附睾和阑尾样病变均由非干酪样上皮样肉芽肿和巨细胞组成，并被诊断为结节病。 6个月的随访后，该患者没有阴囊内病变复发。这是结节内结节病累及睾丸阑尾的首次报道。
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