Cook J L, Dewbury K
Southampton University Hospitals NHS Trust, Tremona Road, Southampton, SO16 6YD, UK.
Clin Radiol. 2000 Jan;55(1):13-8. doi: 10.1053/crad.1999.0372.
Orchitis and epididymitis are increasingly common lesions encountered in general practice. The clinical diagnosis of inflammation of the testis can be difficult as 10% of neoplasms present acutely with features of inflammation or torsion. The radiological diagnosis is also difficult as the changes seen on ultrasound, whether diffuse or focal, acute or chronic, have to be differentiated from the changes seen with tumours of the testis. The purpose of this review is to describe and illustrate the evolving changes seen in orchitis with reference to the anatomy and pathophysiology of testicular inflammation. We hope that recognition of this pattern may lead to a more confident diagnosis and appropriate management decisions.
睾丸炎和附睾炎是普通临床实践中越来越常见的病症。睾丸炎症的临床诊断可能具有挑战性，因为10%的肿瘤会急性表现出炎症或扭转的特征。放射学诊断也存在困难，因为超声检查所见的变化，无论是弥漫性还是局灶性、急性还是慢性，都必须与睾丸肿瘤所见的变化相鉴别。本综述的目的是结合睾丸炎症的解剖学和病理生理学，描述和阐释睾丸炎中不断演变的变化。我们希望认识到这种模式可能会带来更可靠的诊断和恰当的管理决策。
