Dotan Zohar A, Laufer Menachem, Heldenberg Eithan, Langevitz Pnina, Fridman Edward, Duvdevani Mordehai, Ramon Jacob
Department of Urology, Sheba Medical Center, Tel Hashomer, Israel.
Urology. 2003 Aug;62(2):352. doi: 10.1016/s0090-4295(03)00388-1.
Polyarteritis nodosa is a systemic vasculitis characterized by segmental necrotizing lesions of medium and small-size arteries. Rarely, the inflammatory process is isolated and involves a single organ without systemic manifestations. We describe a patient with isolated polyarteritis nodosa of the testis who presented with a testicular mass mimicking primary testicular tumor. The postoperative laboratory evaluation was negative. Long-term follow-up, without systemic treatment, showed no evidence of recurrence in the remainder of the testis or development of systemic vasculitis.
结节性多动脉炎是一种系统性血管炎,其特征为中小动脉的节段性坏死性病变。罕见情况下,炎症过程局限,仅累及单一器官而无全身表现。我们描述了一名患有孤立性睾丸结节性多动脉炎的患者,该患者表现为睾丸肿块,酷似原发性睾丸肿瘤。术后实验室检查结果为阴性。长期随访且未进行全身治疗,结果显示睾丸其余部分无复发迹象,也未出现系统性血管炎。