The xanthogranulomatosis orchiepididymitis. Report of seven cases.

The xanthogranulomatosis orchiepididymititis is a benigne and a rare diseas e. its etiology is unknown. It creates diagnosis, therapeutic and etiologic al problems. The diagnosis is hardly made because of the variability of the clinical fidings. The confusion is mainly made with a malignent tumor, and sometimes with a simple orchiepididymitis. Orchidectomy is usually perform ed. We report seven cases of orchiepididymitis caracterized by their antibi otherapic resistance, the destruction of the testis which needed a surgical removal. The diagnosis is established after the histological study of the testis. The etiology is not yet known. The authors study the clinical evolu tion and therapeutic caracteristics of our serial comparing with the litera ture data. (C) 2001 Editions scientifiques et medicales Elsevier SAS.