Toyoshima M, Chida K, Masuda M, Eguchi T, Imokawa S, Nakamura Y, Suda T, Nakamura H
Shimizu Municipal Hospital, Japan.
Nihon Kokyuki Gakkai Zasshi. 2000 Jan;38(1):63-6.
We report a rare case of testicular sarcoidosis. A 68-year-old man was admitted for detailed examination of uveitis and swelling of the testes. A chest X-ray film and computed tomographic scans disclosed ground-glass shadows in the lower fields of both lungs with mediastinal lymphadenopathy. Ga scintigram showed pronounced accumulations in the testes, hilum, and mediastinum. Transbronchial lung and testicular biopsy specimens demonstrated noncaseating epithelioid granulomas, thus confirming the diagnosis of sarcoidosis with testicular involvement. The patient was followed up without systemic steroids. A review of the world literature found only 12 reported cases of clinically evident testicular sarcoidosis.
我们报告一例罕见的睾丸结节病。一名68岁男性因葡萄膜炎和睾丸肿大入院接受详细检查。胸部X线片和计算机断层扫描显示双肺下野有磨玻璃影伴纵隔淋巴结肿大。镓闪烁扫描显示睾丸、肺门和纵隔有明显聚集。经支气管肺活检和睾丸活检标本显示非干酪样上皮样肉芽肿，从而确诊为累及睾丸的结节病。该患者未使用全身类固醇进行随访。查阅世界文献发现，仅有12例临床明显的睾丸结节病报告病例。
