Histopathology and culture of speci

Histopathology and culture of speci-
mens remain the gold standard for diag-
nosis and may reveal unexpected findings
of clinical importance. The histopathology
of caseous granuloma is an important
factor used to determine treatment with
TBEO. The combination of clinical, radio-
logical, histopathological and microbio-
logical findings all play an important part
in the diagnosis of TBEO. Early detection
with high-resolution ultrasonography is
important in the preoperative diagnosis
of TBEO. Fine needle aspiration is done
to obtain cytology and bacterial culture
(Wolf and McAninch, 1991; Sah et al, 2006).
These methods help to avoid an unneces-
sary orchidectomy.