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Genitourinary system tuberculosis is a rare spescific chronic granulomatous infection. If there is the epididymis and/or testicular involvement,this is mostly first kept organ and scrotal swelling, stiffness, and rarely skin fistulization can be seen instead of systemic signs. The treatment is done with antituberculosis drugs. We present a miliary tuberculosis case with scrotal mass which occurred under the antituberculosis therapy ongoing for 6 months and didn’t respond to any other conventional medical therapy so causing us to think about tumoral formation as differential diagnosis
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