TESTIS & EPIDIDYMIS - Tuberculous epididymitis

This is a very old specimen and one which is not likely to be seen today. The epididymis is seen to be elongated and expanded by necrotic material demarcated from the surrounding by a dense fibrous tissue. This is a classical fibro caseous tuberculosis. The testis although compressed is not involved by the disease. Laterally there is a caseous nodule which may well have been communicating with the skin to produce a tuberculous sinus.