Peterson L J, Whitlock N W, Odom R B, Ramirez R E, Stutzman R E, Mcaninch J W
J Urol. 1976 Dec;116(6):825-6. doi: 10.1016/s0022-5347(17)59033-3.
The typical patient with fat necrosis of the scrotum is a prepuberal heavy set male subject who has extratesticular scrotal masses, usually bilateral, with mild to moderate pain but no systemic complaints or symptons related to voiding. The masses are firm, tender and do not transmit light. With a firm diagnosis expectant treatment will allow spontaneous resolution of the lesions. If doubt exists appropriate surgical intervention is advocated. Hypothermic injury, such as swimming in frigid water, is the most probable etiologic agent.
阴囊脂肪坏死的典型患者是青春期前体型偏胖的男性,有睾丸外阴囊肿物,通常为双侧,伴有轻至中度疼痛,但无全身不适或与排尿相关的症状。肿物质地坚硬、有压痛且不透光。确诊后,期待疗法可使病变自行消退。若存在疑问,则主张进行适当的手术干预。低温损伤,如在冰冷的水中游泳,是最可能的病因。