CASE REPORT article
Front. Urol.
Sec. Male Urology
Volume 5 - 2025 | doi: 10.3389/fruro.2025.1482977
Spermatic granuloma of the epididymis-Ultrasography and MRI features:a case report and literature review
Provisionally accepted
- 1Department of Radiotherapy, First Affiliated Hospital of Fujian Medical University, Fuzhou, China
- 2Xiangyang Central Hospital, Xiangyang, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Sperm granuloma (SG) is a rare tumor-like lesion originating from the epididymis.Globally, the imaging findings of SG are poorly understood. This case report systematically recorded a SG confirmed by postoperative pathology, in a 75-year-old male. The patient reported a painless nodular mass in the scrotal area, identified through physical examination. Ultrasonography (US) revealed a well-circumscribed hypoechoic nodule within the epididymis, demonstrating peripheral vascularity on color Doppler. Magnetic resonance imaging (MRI) confirmed the presence of a T2-hyperintense lesion without diffusion restriction. This case report underscores the importance of differentiating spermatic granuloma from other scrotal pathologies with US and MRI, facilitating appropriate clinical management without unnecessary invasive procedures. A literature review is included, discussing the epidemiology, pathophysiology, and current diagnostic and management strategies for spermatic granuloma.
Keywords: Spermatic granuloma, Ultrasonography, Magnetic Resonance Imaging, case repoort, Epididymis
Received: 16 Feb 2025; Accepted: 19 Sep 2025.
Copyright: © 2025 Zhang, Li, Jia and Jia. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Shijun Jia, jsj0008@163.com
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.